ASSYIFA : Jurnal Ilmu Kesehatan

HUBUNGAN PENGGUNAAN MEDIA SOSIAL DENGAN QUARTER LIFE CRISIS PADA MAHASISWA GEN-Z DI UNIVERSITAS TRIBHUWANA TUNGGADEWI

Ziu Kipply — 2026-03-31

The use of social media with content on achievements, lifestyles, and successes of others on social media gives rise to a tendency to make social comparisons that cause psychological stress, insecurity, and uncertainty about the future, and have the potential to affect mental health conditions, especially in Gen-Z who are in the early adulthood phase who are vulnerable to experiencing quarter-life crisis. This study aims to determine the relationship between social media use and quarter-life crisis in Gen-Z students at Tribhuwana Tunggadewi University. The study used a quantitative correlational design with a cross-sectional approach. The population was 1,312 and the sample was 307 students selected using a purposive sampling technique. Data were collected using a questionnaire on social media use and quarter-life crisis that had been tested for validity and reliability. Data analysis was performed using the Spearman rank correlation test. The results showed that most respondents had low social media use and moderate quarter-life crisis. Spearman rank test results indicate a significant relationship between social media use and quarter-life crisis (p = 0.000; r = -0.439), indicating a moderately significant relationship between social media use and quarter-life crisis in Gen-Z students. Higher social media use leads to lower levels of quarter-life crisis. Future research is recommended to examine other factors that may influence quarter-life crisis and employ different research designs to obtain more comprehensive results.

KEPATUHAN KONSUMSI TABLET TAMBAH DARAH SEBAGAI PENENTU KEJADIAN ANEMIA PADA IBU HAMIL DI DESA SITIARJO KABUPATEN MALANG

Yesi Kristinawati — 2026-03-31

Iron deficiency anemia in pregnant women remains a global public health concern, with adherence to iron supplementation continuing to be suboptimal. Objective: To examine the correlation between adherence to iron tablet consumption and the occurrence of anemia among pregnant women in Sitiajo Village, Malang. Quantitative research with a cross-sectional design on 31 pregnant women in their third trimester using purposive sampling. Adherence was assessed using a Guttman scale questionnaire, while anemia status was determined through hemoglobin measurement. Data were analyzed using the Spearman rank correlation test. The study found that 54.8% of respondents were non-adherent to iron tablet consumption, and 51.6% were diagnosed with anemia (Hb < 11 g/dL). A significant correlation was identified between adherence and hemoglobin levels (p-value = 0.001 < 0.05), with a moderate correlation strength (r = 0.548). There is a significant moderate correlation between adherence to iron tablet use and the incidence of anemia in pregnant women. Non-adherence substantially increases the risk of anemia during pregnancy.

ANALISIS ASUHAN KEPERAWATAN LANSIA DIABETES MELLITUS DENGAN MASALAH PERFUSI JARINGAN PERIFER TIDAK EFEKTIF MELALUI SENAM KAKI

Ni Kade Ayu Puspa Purwasih — 2026-03-31

Diabetes Mellitus (DM) in the elderly is a chronic health problem that often causes complications, one of which is impaired peripheral tissue perfusion that may lead to decreased mobility, risk of diabetic ulcers, and even amputation. Elderly individuals with comorbidities and genetic factors have a higher risk of peripheral circulation disorders. One of the non-pharmacological interventions that nurses can provide is diabetic foot exercise aimed at improving peripheral blood flow and neuromuscular function of the lower extremities. This scientific paper aims to analyze nursing care in depth in one elderly patient with Diabetes Mellitus, namely Mr. A, who had a history of chronic disease and family factors, with the nursing problem of ineffective peripheral tissue perfusion through the provision of foot exercises. The method used was a case study with a nursing care approach including assessment, diagnosis, intervention, implementation, and evaluation. The results showed improvement in Mr. A’s peripheral perfusion after diabetic foot exercises were performed for three sessions, with a duration of approximately 15–20 minutes in each session, indicated by reduced tingling complaints, improved acral condition, increased peripheral pulse strength, and increased Ankle Brachial Index (ABI) value. Diabetic foot exercise proved effective as an independent nursing intervention in improving peripheral tissue perfusion in elderly patients with Diabetes Mellitus.

PENGARUH EDUKASI KESEHATAN GIGI TERHADAP PENGETAHUAN DAN KETERAMPILAN PENCEGAHAN KARIES PADA ANAK PRASEKOLAH

Elisabeth Dewi Puspitaningrum — 2026-04-03

Dental and oral health problems, particularly dental caries, remain prevalent among preschool children in Indonesia. This study aims to analyze the effect of dental and oral health education on improving knowledge and skills in preventing dental caries. A quantitative approach with a pre-experimental one group pre-test and post-test design was employed. The subjects consisted of 23 children aged 3–5 years at Aulia Children Learning Center Pamulang. The intervention was conducted through interactive counseling and tooth brushing practice. Data were collected using simple questionnaires and observation sheets and analyzed using descriptive and inferential statistics with the Wilcoxon Signed-Rank test. The results showed an increase in the mean knowledge score from 56.52 to 86.96 and skills from 52.17 to 82.61. Statistical analysis indicated a significant difference before and after the intervention (p < 0.05). In conclusion, dental and oral health education is effective in improving knowledge and skills in preventing dental caries among preschool children. Practice-based education is recommended as an early promotive and preventive strategy.

HUBUNGAN TINGKAT PENGETAHUAN DENGAN PERILAKU IBU DALAM MENERAPKAN TOILET TRAINING PADA ANAK USIA TODDLER (3-5 TAHUN)

Ni Putu Kusuma Dewi — 2026-04-06

The high prevalence of toddlers who defecate and urinate indiscriminately is caused by delayed toilet training. Toilet training is an effort to train children to control their urination and defecation. The toilet training process requires attention to the mother's behavior. This behavior may be caused by the mother's level of knowledge about toilet training. This study aims to determine the relationship between mothers' knowledge and behavior in implementing toilet training for toddler-aged children (3-5 years) in Banjar Anyar Kelod Kerobokan. The study was conducted using a quantitative design with an analytical survey approach and a cross-sectional design, carried out from February to March 2025 with a sample size of 32 respondents selected using total sampling technique. Data were collected using a toilet training knowledge questionnaire and a mother's behavior questionnaire in implementing toilet training. Data were analyzed using the chi-square test with p<0.05. The results showed that most mothers had good knowledge about toilet training (68.8%) and most exhibited good behavior in implementing toilet training (65.6%). The analysis revealed a significant association between the level of knowledge and behavior of mothers in implementing toilet training for toddlers (3-5 years old) in Banjar Anyar Kelod Kerobokan, with a p-value <0.001. The recommendations of this study are expected to provide input for mothers in implementing toilet training for toddlers.

STUDI KASUS ANALISIS ASUHAN KEPERAWATAN POST PARTUM DENGAN MASALAH KEPERAWATAN NYERI AKUT DIBERIKAN TINDAKAN MASSAGE COUNTERPRESSURE

Putu Sri Eddy Farida Christiana — 2026-04-07

Post partum mothers experience physiological changes in uterine involution. Uterine involution in post partum mothers can cause pain in the uterus called afterpains. This raises the problem of acute pain in postpartum mothers. Management that can be done to reduce postpartum pain by providing counterpressure. Post partum mothers who counterpressure will be more free from pain, can manage fear, create feelings of comfort and relaxation. The purpose of this scientific work was carried out to determine the description of post partum nursing care with acute pain nursing problems given counterpressure massage action at Mengwi I Community Health Center. Descriptive method with a case study approach to the nursing care process carried out in managing clients with acute pain including assessment, nursing diagnosis, intervention, implementation and evaluation. Patient collection was carried out using purposive sampling technique in Mengwi I Community Health Center. The final scientific work of nurses involved three patients who were given counterpressure massage for 20 minutes. Evaluation of the action of the patient who initially experienced pain with an average scale of 6 which is classified as moderate pain and after being given counterpressure acute pain nursing problems have been resolved as evidenced by patients reporting reduced pain with an average pain scale of 3 which is included in mild pain. Giving counterpressure massage can overcome acute pain in postpartum patients so it is recommended that postpartum patients be given counterpressure massage to overcome pain.

PERAN POLA ASUH BERBASIS KEARIFAN LOKAL DALAM MENDUKUNG STATUS GIZI BALITA DI KOMUNITAS PEDESAAN

Ristamaya Danar Dewi — 2026-04-22

Nutritional problems among children under five remain a major public health concern in Indonesia, including both undernutrition and the increasing prevalence of overweight and obesity in early childhood. Parenting practices influenced by local wisdom are still widely applied in rural communities and may affect children’s dietary patterns and nutritional outcomes. This study aimed to analyze the role of local wisdom-based parenting practices in supporting the nutritional status of children under five in rural communities. This study employed a quantitative approach with a cross-sectional design. The research was conducted in Sumbersekar Village, Dau District, Malang Regency, from November 2025 to February 2026. A total of 34 mothers with children aged 6-59 months were selected using stratified random sampling. Data were collected through structured questionnaires assessing local wisdom-based parenting practices and anthropometric measurements to determine children’s nutritional status. Data were analyzed using descriptive statistics, Chi-square tests, and multinomial logistic regression. The results showed that most respondents applied local wisdom-based parenting practices in the good category (55.9%). The majority of children had normal nutritional status (61.8%), while 14.7% were undernourished, 17.6% were overweight, and 5.9% were obese. Statistical analysis indicated a significant association between local wisdom-based parenting practices and children’s nutritional status (p = 0.032). In conclusion, local wisdom-based parenting practices play an important role in determining children’s nutritional status. Integrating cultural values with balanced nutrition education may improve healthy feeding practices in rural communities.

FORMULASI DAN UJI STABILITAS SEDIAAN SHAMPO HERBAL KOMBINASI EKSTRAK JERUK NIPIS (CITRUS AURANTIFOLIA) DAN PANDAN WANGI (PANDANUS AMARYLLIFOLIUS)

Devina Wahyu Astaning Cristy — 2026-04-22

This Study Focuses on the formulation and stability testing of a liquid herbal shampoo preparation that combines lime juice (Cutrus aurantifolia) and pandan leaf extract (pandanus amaryllifoliusa) as an anti -dandruff agent..The research method ultilized a laboratory experimental approach, covering the extraction of active ingredients, formulation with varying concentrations, and physical quality assessments, including organoleptic ,Homogeneity, pH , and foam stability tests. Physical evalution results over fourteen days demonstrated that the shampoo preparation maintained a stable consistency, remained homogeneous, and exhibited a pH value within the range of 4.6 to 5.0, which aligns with the physiological conditions of the human scalp . The Findings indicate that the combination of these ingredients provides a synergistic effect ini inhibiting the growth of dandruff-causing microbes while delivering a refreshing aroma.it is concluded that this liquid shampoo formulation meets the quality standards for cosmetic preparations and holds potential as a safe and effective hair care alternative for long-term use.

ANALISIS PERAN KADER KESEHATAN DALAM ACTIVE CASE FINDING TERHADAP PENEMUAN KASUS TUBERKULOSIS ANAK

Gufron Wahyudi — 2026-04-22

Pediatric tuberculosis remains a major public health concern in Indonesia, particularly due to low case detection rates and diagnostic challenges in children. One key strategy to improve pediatric TB case detection is active case finding (ACF) involving community health workers (cadres). This study aimed to analyze the role of health cadres in ACF implementation on pediatric tuberculosis case detection in Banyuwangi Regency. This study employed a quantitative cross-sectional design with a sample of 60 health cadres selected through stratified random sampling. Data were collected using structured questionnaires to assess cadre roles and secondary data from TB registers to identify pediatric TB cases. Data were analyzed using the Chi-square test with a significance level of p < 0.05. The results showed that most cadres had a good role (41.7%), and pediatric TB cases were identified in 46.7% of their working areas. Statistical analysis revealed a significant association between the role of cadres in ACF and pediatric tuberculosis case detection (p = 0.003). Cadres with better roles demonstrated higher case detection proportions. The role of community health workers in ACF significantly influences pediatric tuberculosis case detection. Strengthening cadre capacity, particularly in early detection and household contact investigation, is essential to improve pediatric TB control efforts.

HUBUNGAN PERSEPSI PASIEN TERHADAP PENERAPAN EMPAT PILAR PADA PENANGANAN DIABETES MELITUS DI PUSKESMAS SIMPANG IV SIPIN

Selzi Dhea Astikayuni — 2026-04-28

Diabetes mellitus is a non-communicable disease that continues to increase and requires long-term management through the implementation of four pillars of care: education, medical nutrition therapy, physical activity, and pharmacological therapy. The successful implementation of these pillars is influenced not only by clinical factors but also by patients’ perceptions of the disease and its management. This study aimed to determine the relationship between patients’ perceptions and the implementation of the four pillars in the management of diabetes mellitus at the Simpang IV Sipin Community Health Center. This was a quantitative study with a correlational analytic design using a cross-sectional approach. The population consisted of 250 patients, with 78 respondents selected through purposive sampling. Data were collected using questionnaires and analyzed using the Spearman Rank test. The results showed that most respondents had good perceptions (51.3%) and good implementation of the four pillars (70.5%). A positive and significant relationship was found between patients’ perceptions and the implementation of the four pillars (r = 0.607; p = 0.000). Healthcare providers are recommended to enhance perception-based education to support optimal diabetes management.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEPUASAN PASIEN LANSIA RAWAT INAP DI RSUD INCHE ABDOEL MOEIS SAMARINDA BERDASARKAN DIMENSI HCAHPS

Fajar Prianto Nugroho — 2026-04-28

Elderly patient satisfaction is a crucial indicator of inpatient care quality. This study aims to analyze the relationship between each dimension of HCAHPS with the level of satisfaction of elderly inpatients at I.A. Moeis Regional General Hospital, Samarinda, and to identify the most dominant factors through multiple linear regression analysis. A cross-sectional design was employed with a sample of 170 elderly patients (≥60 years) admitted to RSUD Inche Abdoel Moeis Samarinda (January-December 2024). Consecutive sampling was used. The instrument was an adapted HCAHPS questionnaire, subjected to validity and reliability tests. Statistical analysis included descriptive, bivariate (Spearman's Correlation), and multivariate (Multiple Linear Regression) analyses after checking classic assumptions. Significance level was set at p < 0.05. Respondents (n = 170) had a mean age of 66.8 years (SD 4.3); 50.6% were female. Perceptions of nurse communication, doctor communication, hospital environment, overall care experience, and post-discharge information were generally very positive. Satisfaction distribution: 85.9% high, 11.8% moderate, 2.4% low. Bivariate analysis revealed that only nurse communication was significantly correlated with satisfaction (r = 0.427; p < 0.001). The regression model indicated nurse communication as the sole significant predictor (B = 0.455; p < 0.001), explaining 33.8% of the variance in satisfaction (R² = 0.338). Communication is the most dominant factor associated with inpatient elderly patient satisfaction. Implication: enhancing nurses' interpersonal communication skills (empathy training, listening skills, geriatric communication).

GAMBARAN PEMANFATAAN PEMBIAYAAN BANTUAN OPERASIONAL KESEHATAN MELALUI PROGRAM LAYANAN USIA LANJUT DI PUSKESMAS FONUANSINGKO

Marwani — 2026-04-28

Facilities and infrastructure, planning, and implementation are crucial components in supporting the success of the Elderly BOK program at the Community Health Center (Puskesmas). Evaluation of these three aspects is necessary to ensure service quality, targeted accuracy, and program effectiveness in meeting the health needs of the elderly. The purpose of this study was to determine the utilization of health operational assistance funding through the elderly service program at the Fonuansingko Community Health Cente. This study used a descriptive quantitative method with a sample of 31 respondents selected purposively. The research instrument was a structured questionnaire covering three main variables: facilities and infrastructure, planning, and implementation of the Elderly BOK program. Data were analyzed descriptively using frequency distributions and percentages to reflect the conditions on the ground. The results showed that facilities and infrastructure were adequate (>80%), but some specific facilities were not evenly distributed. Planning was complete but monitoring and facilities needed to be strengthened. Implementation was on schedule with good results, although supervision still needed to be improved. In conclusion, all three variables were in the good category and mutually supported the success of the Elderly BOK program. Improvements are needed in the equal distribution of special facilities, strengthening of monitoring-evaluation plans, and increasing supervision of implementation to ensure the quality and sustainability of services.

ANALISIS PENDAPATAN KELUARGA DAN SANITASI LINGKUNGAN RUMAH TANGGA TERHADAP KEJADIAN STUNTING PADA BALITA DI JAWA TIMUR MENGGUNAKAN REGRESI LOGISTIK

Dewi Kurnia Sari — 2026-04-30

Stunting is a chronic nutritional problem that remains a major public health challenge in Indonesia and has long-term impacts on human resource quality. This study aims to analyze the effect of family income and household environmental sanitation on the incidence of stunting in newborns in East Java. This research employed a quantitative approach with a cross-sectional design. The data consisted of both primary and secondary sources with a total sample of 696 respondents selected using purposive sampling. Data were analyzed using binary logistic regression. The results showed that the model was statistically significant with a classification accuracy of 74.7%. Family income and household sanitation conditions had a significant effect on stunting, while water conditions and sanitation facilities were not significant. Higher family income and better sanitation conditions were associated with a lower risk of stunting in newborns. Therefore, stunting prevention efforts should focus on improving household economic conditions and overall environmental sanitation.

ANALISIS LAYANAN UNGGULAN ENHANCED RECOVERY AFTER CAESAREAN SURGERY (ERACS) DI RUMAH SAKIT MUHAMMADIYAH LAMONGAN

Muhtaromah — 2026-04-30

The Enhanced Recovery After Caesarean Surgery (ERACS) method in several studies has been proven to accelerate patient recovery. Muhammadiyah Lamongan Hospital began implementing the ERACS method as one of the leading services since 2022. This study aims to analyze ERACS services from a review of effectiveness, time of recovery, and patient satisfaction. This study was descriptive analytic and retrospective cohort, using questionnaire instruments. The research took place at Muhammadiyah Lamongan Hospital, in the period 01 August 2022 to 31 July 2023. The data was processed descriptively and Pearson Chi-square analysis. A total of 120 respondents met the inclusion criteria, with an average age of 29.98 (±4.63) years. Most of patients (70.83%) had a pain scale of 2 or mild pain, and as many as 20% of patients felt no pain after surgery. Most patients (54.17%) said they could walk 6 hours after surgery, and 4.17% of patients started walking 2 hours after surgery. As many as 75.83% of patients did not feel complaints or side effects after surgery, and only 24.17% of patients felt complaints with symptoms of dizziness, nausea/ vomiting, and chills. There are two alternative combinations of per-oral analgesics, i.e Mefinal-Farmadol and Mefinal-Ulcetra. When compared to the effectiveness between the two drug groups, Pearson chi-square analysis showed no significant difference between the two regimen groups (p 0.742). In the aspect of service satisfaction, most of respondents (99.17%) expressed satisfaction with ERACS services at Muhammadiyah Lamongan Hospital.

STUDI KASUS ANALISIS ASUHAN KEPERAWATAN PADA PASIEN DENGAN DIABETES MELITUS TIPE 2 DI RUMAH SAKIT X

Albertha Kurniati Harai — 2026-04-30

Type 2 diabetes mellitus is a chronic metabolic disorder characterized by elevated blood glucose levels due to impaired insulin function or production, which may lead to complications if not properly managed. This paper aims to examine nursing care in two patients with type 2 diabetes mellitus using a case study method based on a systematic nursing process approach.Data were collected through observation, interviews, physical examinations, and documentation studies to formulate nursing diagnoses, including unstable blood glucose levels, ineffective airway clearance, ineffective peripheral perfusion, and hypervolemia. The implementation results showed significant clinical progress, characterized by the stabilization of the patients' general condition and a decrease in Random Blood Glucose (RBG) levels from an initial 298 mg/dL to 186 mg/dL, accompanied by a reduction in complaints of nausea and fatigue. Furthermore, regarding the issue of ineffective airway clearance, patients demonstrated a better ability to expectorate secretions, reduced coughing frequency, and a decrease in adventitious breath sounds such as crackles (rhonchi). The evaluation of nursing care for these two patients with Type 2 Diabetes Mellitus comorbidities indicated clinical improvement meeting the expected outcomes, evidenced by reduced symptoms, more stable vital signs, better-controlled blood glucose levels, and improved respiratory function and secretion clearance, proving that the nursing care provided was effective in enhancing the patients' health status.