Jurnal Kesehatan Komunitas Indonesia

The Effect of Health Education Using Flash Card Media on Adolescent Reproductive Health Behavior

Ghonim Maulana — 2025-04-26

Adolescent problems related to reproductive health are generally caused by a lack of knowledge about sexual and reproductive health, which negatively impacts their reproductive health condition. Currently, many adolescents face issues such as contracting Sexually Transmitted Infections (STIs), HIV (Human Immunodeficiency Virus), AIDS (Acquired Immune Deficiency Syndrome), as well as unplanned pregnancies. Therefore, education tailored to the characteristics of adolescents is essential, one of which can be done through flash cards as a medium for health education. This study aims to determine how using flash card media affects adolescent behavior in maintaining reproductive health. The study uses a quantitative approach with a quasi-experimental method and a non-equivalent control group design. The sampling technique used cluster sampling, with 40 respondents consisting of 20 individuals in the intervention group and 20 in the control group, all from SMPN 1 Rambipuji. Data were analyzed using univariate and bivariate analysis. Statistical analysis using the Wilcoxon Test showed a significant difference between the pre-test and post-test scores in both the intervention and control groups, with a p-value of 0.000 (< 0.05). In addition, the Mann-Whitney Test also showed a p-value of 0.000 (< 0.05), indicating a significant effect of flash card usage on changes in reproductive health behavior among adolescents. These findings suggest that routine use of flash cards, for example, once a week for a month, is efficacious in improving adolescent behavior in maintaining their reproductive health.

Human Resources Development Strategy to Improve Service Quality at Ayu Siwi Eye Clinic Nganjuk

Moh Khoirul Anam — 2025-04-26

The quality of healthcare services in eye clinics is significantly influenced by effective human resource development (HRD), particularly in enhancing the competencies of medical personnel and administrative staff. However, challenges in implementing sustainable HRD strategies remain a common issue. This study aims to analyze HRD strategies in eye clinics and their impact on service quality. This research employs a qualitative descriptive design with a narrative approach. Data were collected through in-depth interviews with medical staff and clinic management, direct observations, and an analysis of HR-related policy documents. Participants in this study were drawn from Ayu Siwi Eye Clinic, located in Nganjuk, East Java. The sample included medical staff, administrative personnel, and managerial staff, all of whom had been employed at the clinic for at least one year. Thematic analysis was used to identify patterns in the strategies implemented. The findings indicate that effective HRD strategies include regular training, performance-based incentives, and employee involvement in decision-making processes. Clinics that adopt these approaches experience increased job satisfaction, operational efficiency, and improved patient care quality. However, challenges such as budget constraints and resistance to change among senior employees persist. In conclusion, the success of eye clinics in enhancing service quality relies on structured and sustainable HRD strategies. Innovative policies in HR management are essential to improving job satisfaction and service effectiveness.

Promotion of Information Reception Readiness for Ineffective Health Management in The Community with Hypertension

Faradilah Mulya Dwiyanti — 2025-04-26

Introduction: Hypertension is a cardiovascular disease in the heart and blood vessels and a serious health problem worldwide. This condition can be characterized by systolic blood pressure ≥ 140 mmHg and diastolic blood pressure ≥ 90 mmHg. An unhealthy lifestyle and a deficit of information account for most of the elements that cause hypertension, and problems arise with ineffective health management. Objective: This study aims to determine the description of community nursing care with Ineffective Health Management: Hypertension in the community of neighborhood 03 in Jumerto Village. Method: This study uses descriptive analysis with a total sampling of 33 samples. Data were collected using a DASH questionnaire, which was carried out before and after the intervention. Data analysis used the Wilcoxon test, with the research results showing a p-value. Result: The results of the intervention showed that there was a significant difference in systolic and diastolic blood pressure before and after the intervention with a significance level (p-value< 0.05), and there is an increase in health education about the hypertension diet with a p-value of 0.000 (p value< 0.05). Conclusion: Health education interventions and demonstrations of giving bay leaf decoction drinks as non-pharmacological therapy can overcome the problem of ineffective health management nursing.

Efficacy of Warm Water Compress and Aloe Vera Therapy for Fever Management in Preschoolers: A Study at Cempaka High Care Unit, Dr. Moewardi Hospital

Putri Oktaviana — 2025-04-26

Background: Hyperthermia is a condition that often occurs in preschool children due to infection or inflammation. If not treated immediately, hyperthermia can cause complications such as dehydration and febrile seizures. One safe and effective non-pharmacological method is warm water compresses, which help lower body temperature by increasing heat evaporation and stimulating vasodilation, thereby improving blood circulation. Objective: This study aims to determine the effectiveness of warm water compresses in lowering body temperature in preschool children with hyperthermia in the Cempaka High Care Unit of Dr. Moewardi Hospital, Surakarta. Method: This study used a descriptive case study method on two children with hyperthermia. Body temperature was measured before and after giving warm water compresses for 15-20 minutes every 4 hours. Results: Child Patient S's body temperature decreased from 39.0°C to 36.4°C and Child Patient M's from 38.2°C to 36.2°C within 24-48 hours after the intervention. Conclusion: Warm water compresses have been proven effective, safe, and simple as a non-pharmacological method in lowering the body temperature of preschool children.

Can Shallot Compress Reduce Fever in Children? A Supportive Nursing Intervention

Intan Syah Bintang Furtuna — 2025-04-27

Background: Dengue Hemorrhagic Fever (DHF), an infectious disease transmitted by Aedes aegypti mosquitoes, frequently causes epidemics and can lead to fatal outcomes. A common clinical manifestation of DHF is hyperthermia (high fever), which requires prompt management. While pharmacological interventions like paracetamol or ibuprofen are standard, non-pharmacological therapies such as shallot (onion) compresses may offer supportive benefits. Objective: This study aimed to evaluate the effectiveness of shallot compress therapy in reducing fever in pediatric DHF patients. Methods: A case study was conducted in the Aster Room of Dr. Soebandi Hospital, involving children diagnosed with DHF and hyperthermia. Shallot compresses were applied as a non-pharmacological intervention, and temperature changes were monitored. Results: The study demonstrated a significant reduction in body temperature following the application of shallot compresses, indicating its efficacy as a supportive therapy for fever management in DHF. Conclusion: Shallot compress therapy is an effective non-pharmacological intervention to alleviate hyperthermia in pediatric DHF patients. Further research with larger samples is recommended to validate these findings.

Challenges of Elderly Coffee Farmers: Exploring Fall Risks and Associated Hypertension in Alas Lanjang, Bondowoso

Nadia Putri Salsabila — 2025-04-27

Elderly farmers faced high health risks, particularly from Non-Communicable Diseases (NCDs), with hypertension being a significant issue. The elderly were vulnerable to hypertension due to physiological changes affecting their well-being. Hypertension in the elderly increases the risk of falls, which could cause physical injuries and psychological impacts. This study aimed to analyze the characteristics of elderly farmers and describe the fall risk among hypertensive elderly farmers in Blimbing Village, Klabang Subdistrict, Bondowoso Regency. This research used a descriptive quantitative design with a cross-sectional approach. The study population included 90 elderly farmers in Dusun Alas Lanjang, with a sample of 60 hypertensive elderly farmers meeting the inclusion criteria. Data were collected using the Morse Fall Scale questionnaire to assess fall risk and demographic characteristics. The study results indicate that most respondents were 60-74 years old (68.3%), with the majority being female (56.7%). Most respondents had no formal education (61.7%). The most prevalent type of hypertension among respondents was Stage 1 hypertension, with 30 (50%) respondents, and Stage 2 hypertension, with another 30 (50%) respondents. Results from the Morse Fall Scale showed 58 (96.7%) respondents at high risk of falls and 2 (3.3%) respondents at low risk. These findings indicated a high risk of falls among hypertensive elderly farmers in Blimbing Village, necessitating appropriate interventions to prevent falls and related health complications.

Effectiveness of Chewing Gum Therapy as Prevention of Post-Operative Ileus (POI) in Post-Laparotomy Surgery Patients in the Mawar Room of RSD dr. Soebandi Jember

Naila Khoirun Naili — 2025-04-27

Background: Post-operative ileus or POI is one of the most common problems found and disruptive after laparotomy or laparoscopy, both electively and emergency. Potential complications that can arise from POI with a prolonged period include increased post-operative pain, increased nausea and vomiting, complications in the lungs, worsening of the surgical wound healing process, inadequate oral intake, delayed post-operative mobilization, a long hospitalization period, and increased healthcare costs. Therefore, a non-pharmacological approach is needed to minimize the incidence of POI, including chewing gum therapy. Purpose: To determine the effectiveness of chewing gum therapy in preventing Post-Operative Ileus (POI) in post-laparotomy patients. Method: A case study involving two patients: intervention patients and comparison patients. Chewing gum therapy is given as much as two pieces with a chewing time of 10-15 minutes in a total of 3 times/day, and observations are carried out every 6 hours. Results: The average pain scale was lower in intervention patients, nausea occurred in comparison patients, the average bowel sounds were higher in intervention patients, and the time to the first fart after surgery was shorter in intervention patients compared to comparison patients. Conclusion: Chewing gum therapy can reduce symptoms of POI complications and accelerate the reactivation of gastrointestinal motility after surgery.

Harnessing Benson Relaxation Therapy to Stabilize Blood Glucose Levels in Elderly Diabetic Patients at Jember Nursing Home

Siti Murdiyati Mukarromah — 2025-04-27

Introduction: Diabetes mellitus is a metabolic disease characterized by increased blood glucose levels. This disease is often found in the elderly and elderly caused by degenerative processes. The use of Benson relaxation therapy as part of a comprehensive diabetes management program can improve the quality of life for diabetes sufferers. Aim: This case study aims to analyze the application of Benson relaxation to the problem of unstable blood glucose levels in Patient. Method: Elderly people with type 2 diabetes mellitus had their blood glucose levels measured levels during pre-intervention in the morning and post-intervention in the afternoon. Elderly people receive intervention twice a day for 20 minutes and continue for up to 6 days. Results: Elderly people with type 2 diabetes mellitus who were given Benson relaxation therapy experienced a decrease in blood glucose levels from before to after intervention from the first meeting to the fifth meeting. Conclusion: Implementation Benson relaxation therapy given to the elderly has an effect on reducing blood pressure glucose levels on results before and after intervention.

Keywords: Diabetes Mellitus, Benson Relaxation Therapy, Elderly.

Dhikr Therapy as an Approach to Handling Auditory Hallucinations in Schizophrenia Patients at Dr. RM. Soedjarwadi Mental Hospital

Eka Novitasari — 2025-04-30

Background: The incidence of schizophrenia in Indonesia reaches 400,000 people or 1.7 per 1,000 population, where Central Java has 8.7% of the population experiencing schizophrenia. 70% of patients diagnosed with schizophrenia experience auditory hallucinations. Auditory hallucinations are stimulus disturbances where the patient hears voices that are not real. Objective: To determine the results of applying dhikr therapy on the ability to control auditory hallucinations in mental disorders patients. Methods: This type of research is a case study that uses descriptive methods with pre-test and post-test observation sheets. Results: The change score in the ability to control hallucinations in 2 respondents before dhikr therapy was carried out was at stage II (moderate) where respondent 1 got a score of 27 and respondent 2 with a score of 31. After being given dhikr therapy for three days, the respondent experienced a change in score to stage I (mild) hallucinations where respondent 1 got a score of 16 and respondent 2 with a score of 21. Conclusion: There are differences in changes in the ability to control hallucinations before and after dhikr therapy in patients with auditory hallucinations.

The Effect of Pursed-Lips Breathing on Children's Respiratory Rate with Pneumonia in Cempaka High Care Unit, Dr. Moewardi Regional Hospital

Arini Nurhidayati — 2025-04-30

Background: Pneumonia is a lower respiratory tract infection that can be fatal in children, caused by bacteria, viruses, or fungi. Symptoms include fever, cough, and dyspnea. One non-pharmacological therapy to address ineffective breathing patterns is Pursed Lips Breathing (PLB), which can improve alveolar expansion in each lung lobe, normalize respiratory rates, and promote relaxation in children with pneumonia. Objective: This study aimed to determine the effect of PLB on respiratory frequency in childrens with pneumonia at Cempaka High Care Unit, Dr. Moewardi Regional Hospital, Surakarta. Methods: A descriptive case study approach was used, involving two respondents diagnosed with pneumonia. Respiratory rate (RR) was measured before and after PLB intervention, administered twice daily (morning and evening) for three days. Results: Post-intervention, Respondent R’s RR decreased from 44 to 32 breaths/minute, while Respondent S’s RR improved from 32 to 20 breaths/minute. Conclusion: PLB therapy demonstrated changes in respiratory frequency for both respondents. Respondent R’s rate remained indicative of tachypnea, whereas Respondent S achieved a normal range, marked by improved breathing patterns.