Jurnal Kesehatan

Should Mothers Detect Pneumonia Early?

Lindesi Yanti — 2025-11-14

The Relationship Between Self Care Behavior and Quality of Life of Breast Cancer Patients Undergoing Chemotherapy in The Chemotherapy Room of Bali Mandara Hospital

Ni Nyoman Mariathi — 2025-11-14

Introduction: Breast cancer patients with chemotherapy treatment have a negative impact on physical and psychological quality of life. This impact can be influenced by self care behavior. This study aims to determine the relationship between Self Care Behavior and the quality of life of breast cancer patients undergoing chemotherapy in the Chemotherapy Room of Bali Mandara Hospital

Method: The study was conducted with an analytical observational design with a cross sectional approach conducted from February to March 2025 with a total sample of 34 respondents selected by purposive sampling technique. Data were collected using the Self Care Behavior questionnaire and the ORTC QLQ BR-23 questionnaire. Data were analyzed using the spearman's rho test.

Results: The results showed that the majority had self care behavior dependence as much as 67.6% and most of the functional quality of life and symptoms in the moderate category as much as 73.5%. Analysis of the relationship between self care behavior and the quality of life of breast cancer patients undergoing chemotherapy in the Chemotherapy Room of Bali Mandara Hospital obtained a p value <0.001.

Conclusion: It can be said that there is a relationship between self care behavior and the quality of life of breast cancer patients undergoing chemotherapy in the Chemotherapy Room of Bali Mandara Hospital. The recommendations of this study are expected to be input for nurses to always provide counseling to patients with diabetes mellitus to improve quality of life.

Protocol registration: This research has previously passed ethical review with the number: 015/EA/KEPK.RSBM.DISKES/2025

The Application of Hypnotherapy on Insomnia Levels in the Elderly at the Panti Sosial Tresna Werdha Budi Luhur Jambi

Rina Oktaria — 2025-11-14

Introduction: Aging is the process of tissue loss or decline in the ability to maintain normal bodily functions. Insomnia is a sleep disorder characterized by difficulty falling asleep, frequent nighttime awakenings and difficulty falling back asleep, waking up too early in the morning, and restless sleep, even with adequate sleep duration. Insomnia can have negative impacts on sufferers, including physical and mental health issues such as heart disease, stroke, diabetes, obesity, depression, and anxiety. Furthermore, insomnia also impacts social and productivity, such as decreased work performance and relationship problems due to emotional instability. Hypnotherapy is a form of healthcare that involves a state of deep relaxation and focus to help patients overcome various problems. In hypnotherapy, the client and hypnotherapist work together to achieve goals. During therapy, the nurse acts as a guide, maintaining full awareness and control over the client. The client will remain conscious during the session, be able to hear the therapist's voice, remember what happened, and even reject suggestions if they don't align with their values.

Method: This research is a descriptive case study design. The subjects were two elderly individuals who served as respondents. The study was conducted in the working area of the Panti Sosial Tresna Werdha Budi Luhur Jambi on May 27-29, 2025.

Results: Based on the results of the study that has been conducted for 3 days in 1 week for 45 minutes, it was concluded that before the application of hypnotherapy, the results obtained from the two respondents were Mr. S score of 33 and Mr. N score of 35, indicating that both were categorized as severe insomnia. After the application of hypnotherapy, the results obtained from the two respondents were Mr. S score of 22 and Mr. N score of 24, indicating a change that was categorized as mild insomnia.

Conclusion: Hypnotherapy significantly impacted the change in insomnia scores, as evidenced by the difference in insomnia scores before and after the intervention. This recommendation is for nurses to implement independent nursing interventions through complementary hypnotherapy.

The Effect of Acupressure on The KI 3 on Pain Scale in Gout Arthritis Patients at UPTD PUSKESMAS I Health Office of Denpasar Selatan Subdistrict

Ni Wayan Somawati Purnamasari — 2025-11-14

Introduction: Gout arthritis is a condition where there is an increase in uric acid levels in the blood, leading to various effects, one of which is pain. Managing pain in gout arthritis patients can be addressed through complementary therapy, one of which is acupressure on the KI 3 point. This study aims to determine the effect of acupressure on the KI 3 point on pain scale in gout arthritis patients at UPTD Puskesmas I Health Office of Denpasar Selatan Subdistrict.

Method: The study was conducted using a pre-test and post-test one-group design from February to March 2025, with a sample size of 20 respondents selected using purposive sampling. Pre-test and post-test data were collected using a numerical rating scale. Data were analyzed using the Wilcoxon signed-rank test with p<0.05.

Results: The results showed that the pain scale before acupuncture at point KI 3 had a median pain score of 5, and there was a change in the pain scale after acupuncture at point KI 3, with a median of 3. The analysis results indicate an effect of acupressure at the KI 3 point on the pain scale of gout arthritis patients at the UPTD Puskesmas I Health Center in Denpasar Selatan District, with a p-value <0.001. The recommendations from this study are expected to serve as input for nurses to always provide acupressure as a supportive therapy for gout arthritis patients to alleviate acute pain.

Conclusion: It can be said that there was an effect of acupressure at the KI 3 point on the pain scale of gout arthritis patients at the UPTD Puskesmas I of the South Denpasar District Health Office with a value of p=0.001.

The Relationship Between Mother's Knowledge Level and Behavior Use of Antibiotics in Children Aged 2-5 Years in Children's Polyclinic of Sitiung I Community Health Center, Sitiung Regency Dharmasraya

Ita Dwiani — 2025-11-14

Introduction: The use of antibiotics in children aged 2–5 years is an important public health issue because at this age the immune system is still developing, so children are more susceptible to bacterial infections. This study aims to analyze the relationship between maternal knowledge levels and antibiotic use behavior in children aged 2–5 years at the Children's Polyclinic of Sitiung 1 Community Health Center, Dharmasraya Regency in 2025.

Methods: This study used a descriptive correlational design with a cross-sectional approach. The population in this study were all mothers with children aged 2–5 years who visited the Children's Polyclinic of Sitiung 1 Community Health Center. Sampling was carried out using a purposive sampling technique of 80 respondents. The research instrument used a structured questionnaire. Bivariate analysis was carried out using the Spearman Correlation test with a significance level of 5% (p <0.05).

Results: The analysis showed a correlation coefficient (r) of 0.062 with a p value = 0.584 (p <0.05).

Conclusion: there is no positive relationship with very low strength between maternal knowledge levels and antibiotic use behavior in children. This study recommends that healthcare workers improve education regarding the appropriate use of antibiotics, strengthen communication with mothers, and encourage active participation in outreach programs. These efforts are expected to reduce the risk of antibiotic resistance and improve child health.

The Relationship Between Nurses' Caring and the Anxiety of Inpatients at the Koto Baru Community Health Center, Dharmasraya Regency

Vella Deli Fitri Ramadani — 2025-11-14

Introduction: Caring is a behavior or action taken to provide a sense of physical and emotional security to others in a sincere manner. Caring is central to nursing practice, requiring nurses to be more concerned with their patients. The aim of this study was to determine the relationship between nurses' caring and the anxiety of inpatients at the Koto Baru Dharmasraya Community Health Center.

Methods: This research is a quantitative study with an analytical survey design using a descriptive approach. The population was all 144 patients who underwent medical check-ups at the Koto Baru Community Health Center between August and December. A sample of 35 individuals met the inclusion and exclusion criteria. The sampling technique used was accidental sampling.

Results: The results of the study, namely univariate analysis, obtained 25 (71.4%) respondents with sufficient caring and 25 (71.4%) respondents with mild to moderate anxiety. Bivariate analysis using the Chi-Square test showed a relationship between nurse caring and patient anxiety with a P value of 0.000 ≤ 0.05.

Conclusion: Suggestions are expected for the future so that nurses can improve caring behavior and reduce patient anxiety at the Koto Baru Community Health Center.

Implementation of Proning Position to Reduce Dispnea in Asthma Patients

Dimas Anugra — 2025-11-14

Introduction: Asthma is a chronic respiratory disease that is a serious public health problem in many countries worldwide. This disease disrupts daily life, impacting quality of life and productivity. Asthma sufferers generally experience muscle spasms that can cause shortness of breath, difficulty expiratory, decreased lung capacity, and physical weakness. To overcome shortness of breath, the prone position can be applied. The purpose of this study was to describe the application of the prone position in patients with bronchial asthma who have nursing problems related to ineffective breathing patterns.

Method: The research used was quantitative. The research used a descriptive method with a case study approach. This was to explore the therapy of providing a prone position to reduce shortness of breath in patients. This case study was conducted in the emergency room of Dr. AK Gani Hospital, Palembang. This case study was conducted in May 2025. The subjects of this case study were two patients with bronchial asthma.

Results: After applying the prone position to patient 1 and patient 2, both patients experienced an increase in oxygen saturation levels and a decrease in respiratory rate.

Conclusion: Applying the prone position effective to increase oxygen saturation levels and reduce shortness of breath in patients with bronchial asthma.

Nursing Management Information System for Monitoring Hand Hygiene Compliance of Health Care Workers

Aris Teguh Hidayat — 2025-11-14

Introduction: Healthcare Associated Infections (HAIs) are one of the health problems in developed and developing countries, the incidence of nosocomial infections occurs almost all over the world and greatly affects developing and poor countries. One way or effort that can be done to prevent nosocomial infections is by hand decontamination where disease transmission through hands can be minimized by maintaining hand hygiene by means of hand hygiene.

Results: The advancement of information system technology is growing rapidly along with the needs of humans as its users. The benefits of information system technology can also be enjoyed and applied in the health sector. Management information systems can also be utilized in health promotion efforts, namely in efforts to monitor hand hygiene compliance. Efforts to monitor hand hygiene compliance consist of hardware as a recording tool, and software as a processor to present the required data. Efforts to apply observation technology using the latest tools integrated with the management information system are expected to be a solution to the shortcomings of direct observation carried out by officers including human error susceptibility, data presented, and solutions to the time taken from the documentation collection process.

Conclusion: The author uses literature studies as a writing method. This article presents recommendations for the health care sector to use integrated management information system technology as an effort to improve the quality of health care, especially in the field of nursing based on evidence-based practice.

Influence Therapy Murottal on Anxiety Levels in Pre Operation Patients Cataract: A Literature Review

Yunita Aisah Putri — 2025-11-14

Introduction: High levels of anxiety in pre-operative patient cataract can influence stability physiological and psychological, so that potential bother the way procedure operative. One of the effective non-pharmacological methods in reduce anxiety is therapy murottal, which is believed give effect relaxation through mechanism neurophysiological patient. The purpose of this study was to know the influence therapy murottal to level anxiety in preoperative patients cataract.

Method: Research This is study secondary use method literature review.

Results: Results of literature review of the 5 journals that have been has been shown, shows that therapy murottal effective in lower-level anxiety pre-operative patient cataracts. Effects This supported by findings improvement relaxation, decrease beat heart, and decline level hormone stress like cortisol.

Conclusion: Therapy murottal Al-Quran has significant influence in lower-level anxiety pre-operative patients, especially in cataracts patient.

Finger Grip Relaxation Technique to Reduce Pain Scale in Post Appendictomy Surgery Patients: Literature Review

Siti Umaiyah — 2025-11-14

Introduction: Appendectomy is an abdominal opening performed to remove the inflamed appendix. Post-appendectomy surgery will cause pain. Finger grip relaxation is one of the non-pharmacological methods that can reduce pain. This study conducted to determine how the finger grip relaxation technique affects the level of pain experienced by clients after appendectomy surgery.

Method: Selected articles from the literature are reviewed and used in this study.

Results: The use of finger grip relaxation techniques has been shown to be effective in reducing pain in post-appendectomy patients.

Conclusion: The finger grip relaxation technique can help reduce pain intensity in patients who have undergone appendicitis surgery. Therefore, this technique can reduce physical and emotional tension, and the reflex points on the hands allow the body to feel relaxed.

The Effect of Deep Breathing Relaxation Intervention to Reduce Pain Intensity in Gastritis Patients: A Scoping Review

Rani Anggraeni — 2025-11-14

Introduction: An inflammatory condition affecting the gastric mucosa is called gastritis. This inflammation can cause swelling of the gastric mucosa to the detachment of the superficial mucosal epithelium which is the most important cause of disorders in the digestive system. Pain is an unpleasant sensory and emotional experience due to actual and potential tissue damage. Deep breathing relaxation is intended to reduce muscle tension, and anxiety to prevent increased pain stimuli, as one method of pain management.

Method: Selected articles from the literature are reviewed and used in this study.

Results: This scoping review shows that from 7 articles that meet the inclusion and 5 supporting articles that have been reviewed, deep breathing relaxation therapy has an effect on reducing the pain scale. Conclusion: Based on several explanations that have been put forward, that providing breathing relaxation therapy used for the process of pain management is very helpful in relieving the pain experienced by patients, therefore facilitating the healing process and this technique is very easy to do independently by patients.

Conclusion: Deep breathing relaxation techniques are effective in reducing pain intensity in gastritis patients, so they can be included in nursing interventions in the nursing diagnosis of pain comfort disorders.