ASSYIFA : Jurnal Ilmu Kesehatan

HUBUNGAN ANTARA SELF CARE DENGAN KESEHATAN MENTAL PADA REMAJA DI SMA ISLAM DIPONEGORO WAGIR

Angelina Marissa Jelita, Yanti Rosdiana, Sirli Mardianna Trishinta — Sun, 30 Nov 2025 00:00:00 +0700

The issue of mental health among adolescents in Indonesia is often a concern. One of the contributing factors to mental health problems in Indonesia is the lack of understanding in practicing self-care for mental health. The aim of the research is to determine the relationship between self-care and mental health among adolescents at SMA Islam Diponegoro Wagir. The research design used is correlational. The research population consists of 115 students at SMA Islam Diponegoro Wagir, with a sample size of 89 individuals. The sample was taken using a simple purposive sampling technique. Data was collected using the Mifdul Self Care Scale (MSCS) questionnaire and the Mental Health Continuum-Short Form (MHC-SF). Data analysis used univariate cross-tabulation tests and bivariate Chi-Square. The results of the univariate cross-tabulation test showed that the majority of 79 (88.8%) of the adolescents in SMA Islam Diponegoro Wagir had a sufficient level of self-care, while regarding mental health, most 75 individuals (84.3%) of the adolescents in SMA Islam Diponegoro Wagir need serious attention as most of the adolescents have a low level of mental health. The Chi Square test shows that there is a significant relationship between self-care and mental health in adolescents at SMA Islam Diponegoro Wagir. This is evidenced by a p-value of 0.017, which is less than the significance level (α) of 0.05. Therefore, it can be concluded that self-care has a significant relationship with mental health in adolescents, indicating that self-care plays an important role in maintaining mental health among adolescents at SMA Islam Diponegoro Wagir.

PEMBERIAN CHEST PHYSIOTHERAPY DAN LATIHAN PERNAPASAN PADA PASIEN DEWASA DENGAN PNEUMONIA KOMUNITAS RINGAN DAN RETENSI SPUTUM: A CASE REPORT

Diah Puspita, Dharmajayanti, Yasa , Hartaningrum, Prasana, Dewi, Jeviana — Sun, 30 Nov 2025 00:00:00 +0700

Community Acquired Pneumonia is a major cause of lower respiratory tract disease. Non-severe cases are usually managed without hospitalization, but sputum retention can delay recovery. This case report describes the role of respiratory physiotherapy in a mild pneumonia patient with sputum retention. A 43-year-old male underwent three physiotherapy sessions including infrared therapy, chest physiotherapy, effective coughing, and breathing exercises. After treatment, dyspnea decreased from Borg scale 3 to 2, thoracic expansion improved, and vital signs remained stable. Physiotherapy interventions effectively facilitated sputum clearance, improved ventilation, and enhanced breathing efficiency.

KADAR GLUKOSA DARAH PADA PASIEN CORONARY ARTERY DISEASE (CAD) DI RSUD RADEN MATTAHER JAMBI TAHUN 2021-2024

Umi Rofiqul Jannah Rohman, Hiratna Hiratna, Erny Kusdiyah — Sun, 30 Nov 2025 00:00:00 +0700

Coronary Artery Disease (CAD) is a condition in which the coronary arteries experience narrowing or blockage, resulting in reduced oxygen supply to the heart. In CAD patients, elevated blood glucose levels or hyperglycemia may occur, regardless of the presence of diabetes mellitus. This is due to activation of the sympathetic nervous system and increased levels of catecholamines and cortisol, which stimulate gluconeogenesis and glycogenolysis. This study aims to determine the relationship between blood glucose levels and CAD. The research design is analytical observational with a cross-sectional approach. A total of 131 samples that met the inclusion criteria were analyzed using univariate and bivariate analysis with the Chi-Square Test of Independence. The results showed that most CAD patients were male (74.8%) and aged 56–65 years (46.6%). The most common diagnosis was STEMI (42.7%), and the majority of patients had normal random blood glucose levels (63.4%). The highest mean random blood glucose level was found in STEMI patients (143.59 mg/dL), while the lowest was in UAP patients (136.68 mg/dL). Statistical analysis showed a p-value > 0.973, indicating no significant relationship between blood glucose levels and CAD. It can be concluded that there is no association between blood glucose levels and CAD diagnosis.

PEMANFAATAN WEARABLE DEVICES DALAM PEMANTAUAN PASIEN DIABETES MELLITUS TIPE 2 DI INDONESIA: SCOPING REVIEW

Sun, 30 Nov 2025 00:00:00 +0700

Type 2 diabetes mellitus (DMT2) is one of the chronic diseases with a high prevalence in Indonesia. The main challenges in patients are limited self-monitoring, low adherence to therapy, and early detection of complications. Wearable devices, such as smartwatches and health sensors, are starting to be used globally to monitor the condition of DMT2 patients, but the evidence of their use in Indonesia is still not comprehensively mapped. Identify and map the literature related to the use of wearable devices in monitoring DMT2 patients in Indonesia. This study is a scoping review that follows the framework of the Arksey & O'Malley methodology. Literature searches were conducted on PubMed, Scopus, ScienceDirect, Google Scholar, and Garuda with a range of 2013–2025. Keywords include "wearable devices", "smartwatch", "diabetes mellitus type 2", "Indonesia", and "self-monitoring". The included articles are publications in English or Indonesian that discuss the use of wearable devices in DMT2 patients in Indonesia. Of the 312 articles identified, 5 met the inclusion criteria. The most widely used wearable devices are smartwatches with physical activity monitoring, non-invasive glucose levels, and sleep pattern detection. Most studies were limited trials and observational studies. The results show wearable devices can improve patient adherence to self-management, lower HbA1c levels, and provide real-time data for healthcare workers. However, the main barriers are cost affordability, limited integration with electronic medical records, and patient digital literacy. Wearable devices have the potential to support monitoring of DMT2 patients in Indonesia, but further research with longitudinal design and large-scale clinical trials is still needed. Integration into the national digital health system is also important to expand its utilization.

IMPLEMENTASI POLA MAKAN SEHAT PADA ANAK USIA DINI DI KB DAN TK ISLAM NURUL HUDA WONOREJO KENCONG KABUPATEN JEMBER

Izatul Milla, Lailatul Rahmawati, Ayik Nikmatul Laili — Sun, 30 Nov 2025 00:00:00 +0700

Meeting the nutritional needs of young children remains a serious challenge, particularly in rural areas such as the Kencong subdistrict in the Jember regency, where the prevalence rate of stunting is 29.7%. This situation is exacerbated by modern lifestyles and low nutritional literacy among parents, resulting in unhealthy eating patterns. This study aims to examine the implementation of healthy eating patterns at Nurul Huda Wonorejo Kencong Islamic Kindergarten and Preschool and to identify the factors that support or hinder this implementation. The research method employed is descriptive and qualitative, taking an interpretative approach. Data were collected through participatory observation, semi-structured interviews and documentation from school principals, teachers and parents of students. The results of the study indicate that the school has successfully established a culture of healthy eating through policies such as providing nutritious packed lunches, banning instant foods, holding monthly parenting sessions, providing group meals and encouraging active parental involvement. However, challenges remain, including low nutritional literacy among some parents, the absence of nutrition experts, and limited school kitchens. The success of this programme highlights the importance of collaboration between schools, parents and professionals in promoting healthy eating habits from an early age. The programme is in line with national policies such as GERMAS and could be replicated in other early childhood education institutions.

PENGARUH ASUPAN GIZI SEBELUM HAMIL DAN USIA IBU HAMIL DENGAN KEJADIAN ANEMIA PADA IBU HAMIL TRIMESTER II

Endah Kusumawati, Suhartik — Sun, 30 Nov 2025 00:00:00 +0700

Anemia in pregnancy is a global health problem that risks increasing maternal and fetal morbidity and mortality. A preliminary study in Mojo Village showed a high prevalence of pregnant women with anemia. This study analyzed the effect of pre-pregnancy nutritional intake and maternal age on the incidence of anemia in second-trimester pregnant women in Mojo Village, Bojonegoro Regency. This study used a quantitative design with a cross-sectional approach. The study was conducted from December 2023 to January 2024. The population and sample were all second-trimester pregnant women with anemia, totaling 30 respondents, selected using a total sampling technique. Data analysis used multiple linear regression tests. The characteristics of the respondents were mostly of healthy reproductive age 17-35 years (80%) and had secondary education (83.3%). The results of the simultaneous test showed a significant effect between nutritional intake and maternal age on the incidence of anemia. Maternal age was the most dominant variable. There was a significant effect both simultaneously and partially between pre-pregnancy nutritional intake and maternal age on the incidence of anemia in second-trimester pregnant women. Improved pre-conception nutrition education and gestational age planning are needed to prevent anemia.

PENGARUH POLA KONSUMSI MAKANAN INSTAN TERHADAP STATUS ANEMIA PADA REMAJA PUTRI DI WILAYAH PESISIR SITIARJO, KABUPATEN MALANG

Deni Orysa, Rani Safitri — Thu, 01 Jan 2026 00:00:00 +0700

Anemia is a decrease in hemoglobin levels and the number of erythrocytes and hematocrit below 11 g/dL, consumption of fast food in adolescent girls can inhibit iron absorption and cause iron loss. This study aims to determine the relationship between instant food consumption patterns and the anemia status of adolescent girls in Sitiarjo Village, Malang Regency. This study is a quantitative study using a cross-sectional design. The sample of this study was 30 adolescent girls in grades X and XI with the inclusion criteria of not consuming iron supplements for the past 2 weeks, not menstruating, and not suffering from infectious diseases such as malaria, tuberculosis, and others. Data were analyzed using the Chi-Square test. Based on the results of the Chi-Square test, a p-value of 0.009 was obtained on the relationship between instant food consumption patterns and the anemia status of adolescent girls in Sitiarjo Village. There is a relationship between instant food consumption patterns and the anemia status of adolescent girls in Sitiarjo Village, Malang Regency. Health workers coordinate with school teachers to be able to visit schools to provide health education regarding ready-to-eat foods and can also conduct HB checks on female adolescent students so that the problem of anemia in adolescents can be resolved.

EDUKASI TANGGAP BENCANA DENGAN TABLETOP DISASTER TERHADAP TINGKAT PENGETAHUAN DAN SIKAP KESIAPSIAGAAN BENCANA GEMPA PADA SISWA KELAS 5 SD BOPKRI GONDOLAYU YOGYAKARTA

Audryan Putra Santoso, Diah Pujiastuti — Thu, 01 Jan 2026 00:00:00 +0700

The 2006 earthquake had a significant impact on the education sector, severely damaging 169 elementary schools in Bantul and affecting 198 students. As children are particularly vulnerable to post-traumatic stress following disasters, efforts to strengthen disaster preparedness from an early age are essential. This study applied the tabletop disaster method as an educational medium for fifth-grade students, aiming to improve their knowledge and attitudes toward disaster preparedness through an engaging and enjoyable learning approach. The research was conducted using a quantitative pre-experimental design with a one-group pre-test and post-test approach involving all 53 fifth-grade students at SD BOPKRI Gondolayu Yogyakarta. Data were collected before and after the intervention and analyzed using the Wilcoxon Signed Rank Test. Most respondents were 11 years old, and the majority were male. The analysis showed a mean difference of 0.25 with a p-value of 0.001, indicating a statistically significant improvement after the intervention. These findings demonstrate that education using tabletop disaster media has a significant positive effect on the level of knowledge and disaster preparedness attitudes of fifth-grade students at SD BOPKRI Gondolayu Yogyakarta.

SWEDISH FOOT MASSAGE UNTUK MENURUNKAN NYERI KEPALA DAN TEKANAN DARAH PADA PASIEN HIPERTENSI: CASE REPORT

Anggita Puri Martani , Nining Indrawati — Thu, 01 Jan 2026 00:00:00 +0700

Hypertension is the most common chronic non-infectious disease, with an estimated 1.56 billion people suffering from hypertension by 2025. Data from Ngesti Waluyo General Hospital also shows that hypertension is the highest case for outpatient care in the first quarter of 2025. Patients with hypertension often experience headaches that can cause sleep disturbances, anxiety, and emotional instability that can affect the patient's quality of life, so therapy is needed to reduce headaches and lower blood pressure. Nonpharmacological therapy performed by nurses independently is Swedish foot massage which can increase endorphin production to reduce headache pain and lower blood pressure. The study describes the implementation of Swedish Foot Massage to reduce headache and blood pressure in hypertensive patients using a case report approach. The results showed that the patient experienced a decrease in pain scale after therapy from a scale of 5 to 1, and a decrease in mean systolic blood pressure from 140.66 mmHg to 127mmHg, and mean diastolic from 90 mmHg to 87 mmHg. Swedish foot massage therapy is effective in reducing headache pain scale and blood pressure in hypertensive patients.

PERAN LITERASI DALAM MENDORONG PERILAKU SEHAT MASYARAKAT: SYSTEMATIC REVIEW

Rubiyanta, Aris Widiyanto, Sapja Anantayu — Mon, 12 Jan 2026 00:00:00 +0700

Literacy plays an important role in shaping healthy behaviors in society and serves as one of the strategic approaches in health promotion. This study aims to systematically examine empirical evidence on the role of literacy in encouraging healthy behaviors in the community. The method used was a systematic review referring to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Article searches were conducted in the PubMed, Scopus, ScienceDirect, Google Scholar, and GARUDA databases, covering the publication period from 2019 to 2025. A total of four articles were analyzed; these were primary studies with experimental and observational designs that examined health literacy or digital health literacy and healthy behavior outcomes. From the selection process, four articles met the inclusion criteria. The results of the review showed that all studies reported a positive relationship between literacy and healthy behaviors, including healthy dietary patterns, physical activity, health information–seeking behavior, and health promotion behaviors. Health literacy and digital health literacy play a role in improving individuals’ ability to understand, evaluate, and appropriately apply health information, which is associated with changes toward healthier behaviors. The conclusion of this review emphasizes that strengthening literacy needs to be integrated into health promotion programs to enhance the effectiveness of efforts to improve healthy behaviors in the community.

PERBEDAAN KETERAMPILAN IBU DALAM MELAKSANAKAN PERAWATAN METODE KANGURU SEBELUM DAN SETELAH DIBERIKAN PENYULUHAN MEDIA VIDEO

I Gusti Ayu Agung Sartika, Ni Wayan Armini, Gusti Ayu Eka Utarini — Mon, 12 Jan 2026 00:00:00 +0700

The low skill of mothers in carrying out kangaroo method care makes the baby's condition unstable. One strategy to improve mothers' skills is through video media counseling on kangaroo method care. The purpose of this study was to identify differences in maternal skills in carrying out kangaroo method care before and after being given video media in the NICU Room of Mangusada Hospital in 2025. This study included quasi experimental research with Pretest-Postest Design using total sampling technique. The number of samples was 11 people. The data collection time was March to April 2025. The analysis technique used bivariate analysis, namely the Paired Test test p <0.05. The results showed that before being given video media with an average skill value of 64.09 and an increase in maternal skills after being given video media with an average of 83.18. The results of the Paired Test test analysis obtained a value of p=0.000. It can be concluded that there is a difference in the mother's skills in carrying out kangaroo method care before and after being given video media in the NICU Room of Mangusada Hospital in 2025. So it is recommended that health workers provide kangaroo method education innovatively so that the mother's skills increase.

ANALISIS FAKTOR YANG MEMPENGARUHI KETIDAKPATUHAN MINUM OBAT ANTITUBERKULOSIS PADA PASIEN TB DI RS X MALANG

Riki Zulkarnaen, Rudy Mardianto, Aldestra Fitri — Mon, 12 Jan 2026 00:00:00 +0700

This study aims to analyze the factors influencing non-adherence to antituberculosis medication among tuberculosis patients at Hospital X Malang. A descriptive cross-sectional design was used, involving 58 patients aged ≥18 years with a history of treatment non-adherence. The sampling technique employed was total sampling. Data were collected using a Likert-scale questionnaire consisting of eight variables: clinical aspects, side effects, knowledge, interaction with healthcare workers, self-confidence, treatment cost, accessibility, and social support. Validity testing was conducted using Pearson correlation, while reliability testing used Cronbach’s Alpha. Descriptive statistical analysis was applied to obtain means, frequencies, and standard deviations. The results indicate that treatment cost, medication accessibility, and side effects were the lowest-scoring variables, making them the primary determinants of non-adherence. This study highlights the need for targeted interventions, including improved medication access, enhanced patient education, and better management of side effects, to ensure treatment success among tuberculosis patients. and reliable. The study concludes that economic constraints and limited service accessibility are key determinants that require targeted attention to improve treatment outcomes.