ASSYIFA : Jurnal Ilmu Kesehatan

HUBUNGAN KEPERCAYAAN DIRI DENGAN INTERAKSI SOSIAL PADA REMAJA AWAL DI SMP NEGERI 1 GRUJUGAN

Afifah — 2024-11-29

Self-confidence can be developed through interaction with the environment. Adolescents who have high self-confidence are able to interact more easily with other people, while students who have low self-confidence are less able to interact with other people. Objective: The aim of this research is to determine the relationship between self-confidence and social interaction in early adolescents at SMP Negeri 1 Grujugan. Method: The design of this research is correlation with a cross-sectional approach. The population of this study was 189 respondents from grades 7 and 8. The sample for this study was 128 respondents. The sampling technique used is simple random sampling. The instrument in this research is a questionnaire. Results: From the research it was found that low self-confidence was 46.9%, moderate self-confidence was 33.6%, high self-confidence was 19.5%, low social interaction was 42.2%, medium social interaction was 45.3%, high social interaction was 12 .5%. The results of the Spearman's Rho statistical test with (ɑ = 0.05) showed a p value of 0.000. Conclusion: H1 is accepted, which means there is a relationship between self-confidence and social interaction in early adolescents at SMP Negeri 1 Grujugan, with moderate strength of the relationship (r = 0.404). High self-confidence plays an important role in creating high levels of social interaction for early adolescents.

ANALISIS PELEPASAN INFORMASI REKAM MEDIS KEPADA PIHAK KETIGA DI RS WAVA HUSADA

Lilik Afifah — 2024-11-29

This study aims to examine the procedures for the release of medical records information to third parties at Wava Husada Hospital, ensuring compliance with applicable regulations to maintain the security and confidentiality of patient data. The research method used is a qualitative approach, including direct observation, in-depth interviews, and analysis of relevant documents. The results show that the procedure for releasing medical record information involves several important steps, including filling out an application form, submitting photocopies of official identification, and, if necessary, a notarized power of attorney. This process involves several related parties, such as the Medical Records Department, doctors or medical personnel, and ward staff working in inpatient or outpatient units. The main purposes for third-party requests for medical records information include insurance claims, transfer of treatment to ensure continuity of care, and administrative or consultation needs.

HUBUNGAN DUKUNGAN KELUARGA DENGAN PERILAKU PENGENDALIAN HIPERTENSI PADA LANSIA DI WILAYAH KERJA PUSKESMAS MAESAN

Intania — 2024-11-29

Hypertension is a common degenerative disease that attacks the elderly. One of the factors that influence the occurrence of hypertension in the elderly is an unhealthy lifestyle and lack of family support so that self-management in the elderly is not carried out properly. Identifying the relationship between family support and hypertension control behavior in the elderly in the Maesan Health Center Work Area is the purpose of this study using a correlational design method with a Cross-Sectional approach. The sample in this study was the elderly in the Maesan Health Center Area with a total of 143 respondents obtained by purposive sampling technique. The results of family support are mostly in the good category as many as 70 respondents (49.0%). Hypertension control behavior in the elderly is mostly in the good category as many as 73 respondents (51.0%). The results show that there is a relationship between family support and hypertension control behavior in the elderly in the Maesan Health Center Work Area, the better the support given by the family to the elderly, the better the hypertension control behavior in the elderly. Suggestion for the elderly it is expected that the elderly who suffer from hypertension will implement healthy living behaviors.

HUBUNGAN DEPRESI DENGAN INSOMNIA PADA LANSIA DI UPT PELAYANAN SOSIAL TRESNA WERDHA (PSTW) JEMBER

Nur Imamah Muthoharoh — 2024-11-29

Depression is a common mental disorder characterized by symptoms such as feelings of sadness, loss of pleasure or interest, guilt, or low self-worth. Depression can occur acutely or chronically, leading to disruptions in an individual's daily activities. The aim of this study is to investigate the relationship between depression and insomnia among the elderly at the Social Services Unit for Elderly (UPT Pelayanan Sosial Tresna Werdha, PSTW) in Jember. This study employed a correlational research design with a Cross-Sectional approach. The sampling technique utilized purposive sampling. Data collection was conducted using a questionnaire. The study found that the majority of elderly individuals experienced depression, 38 (56.7%), and the majority experienced insomnia, 57 (85.7%). Statistical tests showed a p-value of 0.020 < 0.05 using Pearson Correlation test. These results indicate that the alternative hypothesis (H1) is accepted with a correlation coefficient (r) = 0.873, indicating a significant relationship between depression and insomnia at the Social Services Unit for Elderly (UPT Pelayanan Sosial Tresna Werdha, PSTW) in Jember. Healthcare professionals, especially nurses, can help provide education on how to manage depression in the elderly.

PENGARUH SENAM ERGONOMIK TERHADAP TEKANAN DARAH PADA PRALANSIA HIPERTENSI DI WILAYAH KERJA PUSKESMAS KALISAT

Moch. Trifani Salsabila — 2024-11-29

Hypertension is a medical condition that is often found in pre-elderly people and can lead to serious complications if not treated properly. Many pre-elderly people suffer from hypertension because as they age, blood vessels lose their elasticity so that blood pressure increases. One potential non-pharmacological method to lower blood pressure is ergonomic gymnastics. The purpose of this study is to determine the effect of ergonomic gymnastics on blood pressure in pre-elderly. The research method used is pre-experiment with One Group Pre-Test-Post-Test Design. Blood pressure measurements using a sphygmomanometer are recorded on the observation sheet. The sample was taken using a purposive sampling technique with a sample of 38 people. The results of the study showed that there was a decrease in blood pressure in the respondents with the results of the Wilcoxon test obtaining a p value of 0.000 <0.05 so that the H1 hypothesis decision was accepted. The conclusion obtained from the results of this study is that ergonomic gymnastics is effective in lowering blood pressure in elderly people with hypertension. Ergonomic gymnastics can be used as one of the non-pharmacological therapies to control blood pressure in elderly people with hypertension.

EFEKTIVITAS PELATIHAN PROGRAM GENRE TERHADAP KETERAMPILAN SEBAGAI PENDIDIK SEBAYA PADA REMAJA DI KABUPATEN JEMBER

Nabil Mumtaz Hidayat — 2024-11-29

Teenage behavior has changed a lot along with changing times and technological developments. These changes are more likely to be in a negative direction. Based on conditions like these, teenagers need information about reproductive health and useful activities, which is why the role of Peer Educators (PS) is needed. Method used in this research is the simplest pre-experimental and does not have a control group, with a One-shot Case Study Research Design approach, with a sample size of 62 Peer Educators. This research was conducted in June 2024, using the Peer Educator Achievement Indicator Checklist instrument. Data analysis used Paired T-Test with a value of α = 0.05. The results of the research show that before the training using the social skills training module method the average score was 72.43 and after being trained using the social skills training module method it was 83.83. The effectiveness of the GenRe training program using the social skills training module method on the skills of Peer Educators obtained a p value of 0.000. The conclusion from this research is the GenRe Training Program is effective in improving the skills of Peer Educators (PE). GenRe program training can be carried out on an ongoing basis to improve the skills of Peer Educators in providing education to their peers.

HUBUNGAN PERILAKU IBU MENYUSUI DENGAN MOTIVASI MEMBERIKAN ASI PADA BAYI USIA (0-9 BULAN) DI WILAYAH KERJA PUSKESMAS MAESAN

Yudha Restu Pradana Pradana — 2024-11-29

The behavior of breastfeeding mothers is a series of actions and skills performed by a mother to provide breast milk to her baby. This study used a descriptive quantitative research design with a cross-sectional method which aims to determine the relationship between the behavior of breastfeeding mothers with breastfeeding motivation in infants aged (0-9 months) in the working area of the Maesan Health Center. The population in this study were breastfeeding mothers who had babies aged 0-9 months, totaling 100 people. The sampling technique used Simple Random Sampling. Assessment using a questionnaire regarding the behavior and motivation of breastfeeding mothers in providing breast milk. The results of the study using the Spearman Rho Rank test (a = 0.05) showed that there was a significant relationship between the behavior of breastfeeding mothers and the motivation to provide breast milk to infants. The results of the research on breastfeeding motivation showed 66.3% good motivation, 26.3% sufficient motivation, and 7.5 lack of motivation. The relationship between breastfeeding behavior of mothers with breastfeeding motivation in infants with the Spearman Rho Rank test obtained a p value of 0.00. The conclusion of this study is that there is a relationship between the behavior of breastfeeding mothers with breastfeeding motivation in infants aged (0-9 months) in the working area of the Puskesmas.

IMPLEMENTASI TEKNIK MENGHARDIK PADA KLIEN DENGAN HALUSINASI PENDENGARAN DI RUMAH SAKIT Dr. RADJIMAN WEDIODININGRAT

Adib Khoirul Anam — 2024-11-29

Auditory hallucinations are an individual mental disorder characterized by changes in sensory perception. Sufferers actually experience sensory distortion and feel false sensations in the form of sounds that the client actually feels do not exist. Hallucinations can be prevented by teaching clients to control hallucinations by implementing implementation strategies by rebuking hallucinations. Aim of this case study is to prevent hallucinations through implementing the Rebuke Technique at the Dr. Radjiman Wediodiningrat Hospital. Method used is a descriptive case study in the form of an in-depth case study on hallucinating clients by means of interviews, observation, physical examination, documentation studies, and providing nursing care to hallucinating clients by implementing the implementation of the Rebuke Technique. The Rebuke Technique nursing care was implemented for 15 minutes, carried out from April 16 to April 18, 2024. Evaluation was carried out on the third day. The results show that before being given nursing care to hallucinating clients through the Rebuke Technique, the client was unable to control the hallucinations, and after being given the implementation of the rebuke technique, the client was able to control the hallucinations. Implementation of the rebuke technique can control hallucinations after treatment for 3x24 hours. Advice as a family is to understand the prevention of hallucinations using the Rebuke Technique so that you can make efforts to deal with hallucinations at home.

PENGARUH CIRCULO MASSAGE TERHADAP TEKANAN DARAH PADA PENDERITA HIPERTENSI DI DESA SUKOWONO KABUPATEN JEMBER

Sirajul Munir — 2024-11-29

Circulo Massage is one of massage or massage with the main target of lymph blood circulation. This study aims to determine the effect of circulo massage on blood pressure in hypertensive patients in Sukowono Village, Jember Regency Research using Pre-experimental design with Pretest – Post test Group design. The population of this study were hypertensive patients in Sukowono Village, Jember Regency with a population of 152 respondents divided into 30. The sampling technique used Simple Random Sampling. The intervention process uses a standardized intervention protocol for circulo massage procedures. The results of the study with the Paired Sample T-Test test (α < 0.05) showed a significant effect between the results of giving circulo massage with pre and post intervention systolic blood pressure measurements in hypertensive patients. The results of the study on the measurement of systolic blood pressure before the intervention obtained an average value of 154.67 mmHg and after the intervention obtained an average value of 146 mmHg. The effect of circulo massage on systolic blood pressure with the Paired Sample T-Test statistical test obtained a p value of 0.0001. The conclusion of this study is that there is a significant effect on blood pressure in hypertensive patients before and after being given circulo massage. Researcher recommendations, it is hoped that future researchers will better control other variables outside the study so as to avoid bias in research.

HUBUNGAN FUNGSI ORGANIZING KEPALA RUANG DENGAN PENERAPAN PATIENT SAFETY DI RUANG RAWAT INAP RUMAH SAKIT TINGKAT III BALADHIKA HUSADA JEMBER

Fizal Afandi — 2024-11-29

Patient safety is indispensable in efforts to improve hospital quality. Leadership has a positive impact on nurse motivation and improves safety rates. Ineffective leadership support is three times more likely to implement poor patient safety. The successful implementation of patient safety in nursing is strongly supported by the role and function of the room manager through the organizing function of nursing services in the inpatient room, in this case the researcher is interested in conducting research on the relationship between the organizing function of the head of the room with the implementation of patient safety in the Inpatient Room of Level III Baladhika Husada Jember Hospital. This study uses a correlation design with a cross-sectional approach that aims to see if there is a relationship between the organizing function of the head of the room with the implementation of patient safety. The population of this study were nurses who worked in the Inpatient Room of Level III Baladhika Husada Jember Hospital with a total of 74 nurses consisting of 18 D3 graduates and 56 Ners graduates. The sampling technique used proportionate stratified random sampling. Assessment using questionnaires related to organizing functions and implementation of patient safety. The results of the study with the Spearman Rho Rank test (a = 0.05) obtained a p value of (p = 0.00) which means that there is a significant relationship between the organizing function of the head of the room with the implementation of patient safety. The conclusion of this study is that there is a significant relationship between the organizing function of the head of the room and the implementation of patient safety.

IMPLEMENTASI PENCATATAN KETIDAKLENGKAPAN CATATAN MEDIS RAWAT INAP DI RSUD TONGAS

Achmad Jaelani Rusdi — 2024-11-29

Hospitals as health service provider institutions need to consistently improve their service quality standards by ensuring that the medical records presented are precise and accurate. Medical record filling is considered quality if each component in the medical record form is filled with comprehensive information. Comprehensive medical records reflect the quality standards of the hospital. This study aims to identify the level of completeness of inpatient medical record documents at RSUD Tongas by applying a quantitative descriptive approach method. Sampling was done based on the Slovin formula from a population of 407 files, and resulted in 80 samples. The results showed that the average completeness based on patient identification reached 100%. The results of the review of the average completeness of important reporting were 96%. The results of the average review of completeness on authentication are 85%. The results of the average review of completeness in documentation are 100%. Medical record documents that are incomplete will be returned to the treatment room or the doctor in charge of the patient.

FAKTOR YANG MEMPENGARUHI KEAKURATAN DATA SENSUS HARIAN RAWAT INAP DI RSUD DR. R SOEDARSONO PASURUAN

Retno Dewi Prisusanti — 2024-11-29

The process of operational planning and hospital decision making is assisted by the SIMRS system. Based on a preliminary survey conducted in the Medical Records section of RSUD doctors, R. Soedarsono found 400 SIMRS patient data and 300 manual patient data. Because staff members enter the same patient data multiple times, some of this data is duplicated. Information collected daily from short-term and inpatients is used for ongoing screening considerations from day to day, week to week, and month to month. The aim of this research is to find out what influences the accuracy of SIMRS daily inpatient census data. A quantitative approach with descriptive methods was used for this research. The subject of the examination was a medical records officer, while the object of exploration was a PC gadget. The results of the examination showed a variety of officers' information regarding using SIMRS: 20% inadequate, 40% adequate, and 40% good. The SIMRS strategy was seen as half inappropriate and half inappropriate, while the hardware was 60% complete and 40% short. Medical record officers should receive training on how to calculate daily inpatient census data correctly.

HUBUNGAN PEMAKAIAN KONTRASEPSI SUNTIK 3 BULAN DENGAN KENAIKAN BERAT BADAN AKSEPTOR KB DI BPM ENDAH SETIATI, SST DESA TONGAS WETAN

Shoimatul Husnah — 2024-11-29

Injection contraception is a contraceptive method that is widely used in Indonesia. The proportion of injection contraception use was 62.77%. Most acceptors of 3-month injection KB experience an increase in body weight. This is because progesterone stimulates the appetite control center in the hypothalamus, thereby influencing eating behavior. One study showed that many injecting contraceptive users stopped due to side effects such as menstrual disturbances, weight gain, headaches, and stomach discomfort. The purpose of this study was to determine the correlation between the use of 3-month s injection contraception and the increase in the weight of family planning acceptors at Endah Setiati, SST Independent Midwife Practice Tongas Wetan village. This study used a retrospective, using secondary data. With correlation research design with a cross sectional study approach. The population in this study was the number of acceptors of 3-month s injectable family planning at Endah Setiati, SST Independent Midwife Practice. From January to December, 90 people using the total sampling technique and statistical tests used the Chi square test. The results of this study revealed that of the 90 acceptors of the 3-month s injection, most of the acceptors used it for a long time and experienced weight gain, namely 40 people (44.4%). The results of the Chi Square statistical test obtained p-value = 0.126. However, it can be concluded that there is no correlation between the use of 3-month s injectable birth control and weight gain in Endah Setiati, SST Independent Midwife Practice in Tongas Wetan village. The suggestion of this research, will be able to have an impact on midwifery services in the community, especially in providing explanations to patients about the side effects of using 3-month injectable birth control.

KUALITATIF SISTEM PELAPORAN REKAM MEDIS ELEKTRONIK (RME) RAWAT INAP DI RSUD dr. MOHAMMAD ZYN KABUPATEN SAMPANG

Retno Dewi Prisusanti — 2024-11-29

This study examines the challenges and solutions in the implementation of the inpatient electronic medical record (RME) system at dr. Mohammad Zyn Hospital, Sampang Regency. Through qualitative methods involving in-depth interviews with doctors, nurses, and administrative staff, it was found that lack of training, inadequate technological infrastructure, and resistance to change were the main obstacles. However, the potential benefits of RME in improving the efficiency and quality of health services are significant. Proposed solutions include increased training and education, investment in technology infrastructure, effective change management, and regular monitoring and evaluation of the RME system. This study emphasizes the importance of collaboration between hospital management, medical staff, and stakeholders to optimize the implementation of RME and improve the quality of health services in hospitals.

PENYELENGGARAAN MIGRASI RETENSI DATA REKAM MEDIS ELEKTRONIK RSUD NGUDI WALUYO WLINGI BLITAR

Anis Ansyori — 2024-11-29

In the era of digitalization, hospitals in Indonesia face challenges in migrating electronic medical record data from the old system to the new system. At Ngudi Waluyo Wlingi Blitar Regional Hospital, an efficient and effective electronic medical record data migration process is the main issue that needs to be addressed to ensure the successful implementation of the Looker Studio web-based system. This research uses descriptive quantitative methods. This research shows that although the process of migrating electronic medical record data at Ngudi Waluyo Wlingi Blitar Regional Hospital is generally successful, there are several technical and training obstacles that must be corrected. This research aims to identify the challenges faced, the effectiveness of the procedures implemented, and the impact of implementing an electronic medical record system on the efficiency and accuracy of medical data storage. Recommendations for improvement include increasing training for officers, strengthening IT infrastructure, and more detailed planning for future data migration stages.

ANALISIS KESIAPAN RSUD KAREL SADSUITUBUN LANGGUR DALAM IMPLEMENTASI REKAM MEDIS ELEKTRONIK

Fita Rusdian Ikawati — 2024-11-29

A hospital is a group that medical professionals do in a well-structured manner. Electronic medical records are a transition from manual to computerized patient medical records. The function of electronic medical records in general is to improve the quality of services provided to patients. The method used in this study is a descriptive qualitative method and data collected through observation and interviews, the informants in this study are 3 people, namely the head of the medical record coordinator, registration officer and IT officer. Factors that hinder the readiness to implement electronic medical records include 3 aspects, namely: Human resources (HR), infrastructure and information technology (IT). The results obtained at the Karel Sadsuitubun Langgur Hospital are the lack of understanding and knowledge of officers related to electronic medical records, inadequate computers in the polyclinic room due to cost constraints, and the lack of integration with Satu Sehat. The readiness of the implementation of electronic medical records at Karel Sadsuitubun Langgur Hospital is still hampered by these 3 aspects so that there is a need for socialization and training to officers, the holding of computers in each polyclinic room so that services can run optimally and immediately cooperate with Satu Sehat.

PENINGKATAN MUTU DAN EFISIENSI PELAYANAN KESEHATAN MELALUI IMPLEMENTASI REKAM MEDIS ELEKTRONIK DI RUMAH SAKIT HASTA HUSADA

Achmad Jaelani Rusdi — 2024-11-29

Implementation of electronic medical records (RME) in hospitals has become an important step in improving the quality and efficiency of health services. Hasta Husada Hospital has adopted this system, but still faces various challenges. This study aims to analyze and evaluate improving the quality and efficiency of health services through the implementation of electronic medical records (RME) at Hasta Husada Hospital. This research uses a qualitative approach. The research results show that RME provides significant benefits, including fast and accurate access to patient data, increased work efficiency, and reduced medical errors. Although most users feel comfortable using RME after training, there are still complaints about the system interface needing to be simplified. User attitudes were generally positive towards RME after seeing real benefits, despite initial resistance. Implementation of the Hospital Management Information System (SIMRS) has shown mixed results, with some units having fully transitioned to RME and others still in the transition stage.

ANALISIS KUALITATIF REKAM MEDIS ELEKTRONIK PENDAFTARAN PASIEN RAWAT JALAN DI RSUD IBNU SINA GRESIK

Retno Dewi Prisusanti — 2024-11-29

This research examines the implementation of Electronic Medical Records (RME) in the outpatient registration process at Ibnu Sina Gresik Regional Hospital. Using qualitative research methods with a case study approach, this research involved in-depth interviews and direct observation of the use of RME by medical and administrative personnel. The results show that the implementation of RME at Ibnu Sina Gresik Regional Hospital provides a number of significant benefits, such as increased operational efficiency, better diagnostic accuracy, and reduced data input errors. However, challenges such as staff adaptation to new technology and system integration remain major concerns. Continuous evaluation is needed to ensure that the full potential of RME can be utilized to improve the quality of health services and overall patient satisfaction at RSUD Ibnu Sina Gresik.

ANALISIS KUANTITATIF: WAKTU TUNGGU DAN KEPUASAN PASIEN TERHADAP PELAYANAN RAWAT JALAN RS HASTA HUSADA KEPANJEN

Retno Dewi Prisusanti — 2024-11-29

Long queues continue to plague healthcare services, and one of the main causes of dissatisfaction is long waiting times. Patient waiting times are a significant factor in determining the quality of healthcare. Based on preliminary research at RS HASTA HUSADA Kepanjen, it appears that the implementation of outpatient services is not yet running optimally, especially for long-term outpatients. To investigate the factors contributing to long waiting times in outpatient services at RS HASTA HUSADA Kepanjen, with a particular focus on long-term outpatients, and to identify strategies for improving patient flow and reducing waiting times. This study used a descriptive type with a quantitative approach and a cross-sectional design. The sampling technique used is purposive sampling. The research instruments used include questionnaires, observation checklists, and time observation assessments. Data analysis was carried out using univariate analysis and bivariate analysis with chi-square test. The average patient at HASTA HUSADA HOSPITAL Kepanjen had to wait 70.18 minutes to get outpatient services, and most of the time was relatively long (more than 60 minutes). However, the level of patient satisfaction is classified as "quite satisfied". Based on the assessment of the five dimensions of service quality, patients are satisfied with the dimensions of "tangibles", "responsiveness", "assurance", and "empathy". However, in the "reliability" dimension, patients only feel "satisfied". The study showed that there was a relationship between service waiting time and patient satisfaction level at HASTA HUSADA HOSPITAL Kepanjen. This is evidenced by a p-value of 0.042 and a chi-square value of 4.135.

ASUHAN KEPERAWATAN JIWA GANGGUAN PERSEPSI SENSORI PENDENGARAN DENGAN PERILAKU CARING PERAWAT BERDASARKAN TEORI JEAN WATSON

Megiwati Inka Wello — 2024-11-29

Hallucinations are one of the most common mental health problems experienced by those with mental
disorders. The purpose of this case study is to describe the implementation of mental health nursing care for sensory perception disorders of hearing with nurse caring behavior based on Jean Watson's theory. The number of clients used is 3 people, namely clients who experience sensory perception disorders in Srigonjo village. The design of this case study is descriptive qualitative using interview techniques, observation, direct observation, and data collection using patient assessments. The nursing problem raised is sensory perception disorders of hearing. and the nursing actions given are hallucination management. Before being given the action, it was found that the three patients often heard whispering voices inviting them to talk, liked to talk to themselves, daydreamed, liked to smile to themselves, mumbled, often looked at the outside environment or did not concentrate, were uncooperative and the patients looked dirty. After the intervention was given, the patient experienced changes where eye contact was already there when spoken to, was able to concentrate, and was able to apply the rebuke techniques taught. Thus, it can be said that hallucination management with Jean Watson's theoretical approach has a good impact.

TINGKAT PENERIMAAN IMUNISASI LENGKAP DAN FAKTOR-FAKTOR YANG MEMPENGARUHINYA PADA ANAK: TINJAUAN SISTEMATIS PERAN APOTEKER

Yusnita Julyarni Akri — 2024-11-29

Efforts to maintain the health of infants and children should be aimed at preparing the next generation to be healthy, intelligent, and qualified and to reduce infant and child mortality. The provision of basic immunization is useful to provide comprehensive protection against dangerous diseases. Immunization is one way to prevent infectious diseases, especially diseases that can be prevented by immunization (PD3I). The design of this study is a systematic review. The search for articles discussed in this study uses several databases, including Pubmed, Science Direct, and Google Scholar, with a time span of 2019 to 2022. The keywords used to search for the article are "complete immunization" or "complete vaccination" and "immunization acceptance" and determinants or predictors or "risk factors" or causes and children or "under 2 years" or "12–23 months. The type of article used is a research article. The collected articles are then re-selected using inclusion criteria, namely: The collected articles are then re-selected using inclusion criteria, namely: 1) the purpose of the article is to analyze the receipt of complete immunization in children, 2) to analyze the factors that affect complete immunization, as well as exclusion criteria, namely 1) it is not a full-text article, 2) the article does not use English. Factors that affect the completeness of advanced immunization include factors such as knowledge, education, age, occupation, attitude, family support, distance to health services.