Jurnal Kesehatan

Fatherless in Indonesia

Casman — 2026-04-28

Management and Policy of Gestational Hypertension at the Sentru Formosa Clinic, Dili – Timor Leste

Dilma Suzete Bento Alves Pereira — 2026-04-28

Introduction: Gestational hypertension is a leading cause of maternal and fetal morbidity and mortality, particularly in developing countries like Timor-Leste. As a primary healthcare facility, the Sentru Formosa Clinic still faces various challenges in managing gestational hypertension. This study aim was to Analyze the management and policies for handling gestational hypertension at the Sentru Formosa Clinic and formulate recommendations for improvement based on evidence-based policies and practices.

Method: This study uses a qualitative descriptive approach through a literature review of WHO guidelines, ISSHP, and Timor Leste National Treatment Standards, as well as an analysis of the situation of antenatal care (ANC) services at the Sentru Formosa Clinic including the availability of facilities, clinical practices, and referral systems.

Results: Several key issues were identified, including limited screening tools, the lack of standardized standard operating procedures (SOPs), low healthcare worker capacity in handling severe cases, a suboptimal referral system, and a lack of education for pregnant women. These conditions have the potential to lead to delays in the detection and treatment of gestational hypertension.

Conclusion: Standardized operational policies are needed to improve the quality of screening, initial treatment, and referral systems for gestational hypertension. Implementing standard operating procedures (SOPs), increasing the capacity of healthcare workers, and strengthening the referral system are expected to reduce the risk of maternal and neonatal complications.

Quality of Hemoglobin (Hb) Examination Services for Pregnant Women at the AMIRA Primary Clinic in the JKN Scheme

Tulus Agreena Herwandono — 2026-04-28

Executive Summary

Hemoglobin (Hb) testing is an essential part of antenatal care (ANC) services to detect anemia in pregnant women. AMIRA Primary Clinic provides Hb testing as a routine service without additional fees under the National Health Insurance (JKN) scheme.
The results show that Hb testing provides significant clinical and economic benefits, but faces obstacles in adherence to Fe tablet consumption, limited counseling time, and administrative burdens.

Implementation of DASH (Dietary Approaches to Stop Hypertension) Education in Hypertension Patients with Knowledge Deficit Nursing Problems

Dewi Aryani — 2026-04-28

Introduction: Hypertension is defined as an elevation in blood pressure beyond the normal limit, specifically exceeding 140/90 mmHg. The increase in blood pressure is attributed to indirect causes related to dietary habits and lifestyle, leading to a deficiency in knowledge. A knowledge deficit refers to a lack of cognitive information or non-adherence to recommended dietary and lifestyle modifications. Consequently, educational interventions are implemented to enhance understanding of appropriate lifestyle and dietary patterns. One non-pharmacological therapy that may be provided is education on the DASH (Dietary Approaches to Stop Hypertension) diet. This study aim was to provide an overview of DASH (Dietary Approaches to Stop Hypertension) education for hypertensive patients with the nursing diagnosis of knowledge deficit, by offering a clearer understanding of the importance of DASH (Dietary Approaches to Stop Hypertension) in hypertensive patients.

Method: A descriptive design was used, which is a design intended to improve a knowledge deficit.

Results: There was an effect on the knowledge deficit, resulting in an increase in knowledge and a change in blood pressure. This was evidenced by Client 1, who was able to answer 8 questions correctly on the questionnaire, with a percentage indicating 'Good,' while Client 2 was only able to answer 6 questions correctly, with a percentage indicating 'Fair,' due to factors such as age, education, and environment. Both clients appeared to understand the low-salt diet, and their blood pressure improved.

Conclusion: Based on the results of the study involving two respondents, there was an effect on their knowledge deficit regarding DASH (Dietary Approaches to Stop Hypertension) as well as a change in their blood pressure.

The Effect of the Use of Position Clocks on the Risk of Pressure Wounds in Patients at HCU Bali Mandara Hospital

Ni Luh Ayu Sulistiani Tresna Dewi — 2026-04-28

Introduction: Pressure ulcers are localized injuries to the skin and/or underlying tissue, primarily caused by prolonged pressure, especially among patients with limited mobility. These ulcers can lead to pain, infection, extended hospital stays, and increased healthcare costs. Pressure ulcer prevention is a critical component of nursing care. One effective non-pharmacological intervention is the use of a clock position, a visual aid designed to remind nurses or caregivers to reposition patients regularly, ideally every two hours. This study aimed to determine the effect on the usage of clock position towards the risk of developing pressure ulcers in bedridden patients at the High Care Unit (HCU) of RSUD Bali Mandara.

Method: The study utilized a pre-experimental design with a one-group pre-test and post-test approach. A total of 32 respondents were selected using purposive sampling. The Braden Scale was utilized to assess the risk of pressure ulcers. The intervention was conducted in three days using the clock position method, which involved rotating patients’ positions every two hours (supine, right lateral, left lateral) with a 30° head elevation. Data was analyzed using the Wilcoxon Signed Ranks Test.

Results: The result showed that most respondents were initially at high to severe risk of pressure ulcers, but after the intervention, the majority shifted to moderate and low-risk categories. Statistical analysis showed a p-value of 0.001 (p < 0.05), indicating a significant effect of the clock position intervention in reducing the risk of pressure ulcer.

Conclusion: In conclusion, a systematic intervention of clock position is effective in lowering the risk of pressure ulcers in bedridden patients. This intervention can be integrated as part of standard nursing care in intensive care settings.

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

Rina Oktaria — 2026-04-28

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 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.

A Comparative Study of Balloon Blowing and Pursed-Lips Breathing Exercises on Oxygen Saturation Levels Among COPD Patients in The High Care Unit of Bali Mandara General Hospital

I Made Gunadi Setiawan — 2026-04-28

Introduction: COPD is a respiratory disease that causes chronic airflow disruption and progressive airway obstruction, as a result of many factors. The management of COPD therapy is carried out with pharmacological and non-pharmacological therapies. Various non-pharmacological techniques can be performed, including Balloon Blowing and Pursed Lips Breathing (PLB).

Method: This study uses a quasi experimental research method (Quasi Experimental Design) with the research design used is Nonequivalent Control Group Design. Where the experimental group and the control group were not randomly selected. The results of the comparative test analysis of balloon blowing and pursed lips breathing exercises on the oxygen saturation of COPD patients in the HCU Room of Bali Mandara Hospital using the results of the Repeated ANOVA test

Results: The results of the comparative test analysis of balloon blowing and pursed lips breathing exercises on the oxygen saturation of COPD patients in the HCU Room of Bali Mandara Hospital using the results of the Repeated ANOVA test obtained a p-value of 1,000 in the saturation before the intervention and a p-value of 0.304 in the column after the intervention, with a p value of > 0.05, showing that there was no difference between balloon blowing and pursed lips breathing exercises on the oxygen saturation level in COPD patients because Both interventions have an effect on increasing oxygen saturation in COPD patients in the HCU Room of Bali Mandara Hospital

Conclusion: The results of this study are in line with a study that compared pursed lips breathing (PLB) and balloon blowing exercises to increase oxygen saturation in COPD patients, the results of which were no difference between PLB exercises and balloon blowing on oxygen saturation in COPD patients. There was an increase in clinical oxygen saturation due to the median value before the intervention: 94, however, there was no statistically significant improvement in the two interventions.

The Correlation Between Parenting Styles and Socialization Skills of 4-5 Year Old Children at Sai Prema Kumara Kindergarten, Denpasar

L. Eky Fajaria Dian Cahyani — 2026-04-28

Introduction: Socialization skills in preschool children are crucial as a foundation for preparing them for their future academic success. Parenting styles play a crucial role in character formation and socialization skills in children. This study aimed to determine the correlation between parenting styles and socialization skills of 4-5 years old children at Sai Prema Kumara Kindergarten, Denpasar.

Method: This research employed a cross-sectional methodology. Purposive sampling was used to choose a sample of thirty-one people. The Chi-Square statistical test was performed to analyze the data.

Results: The study’s findings revealed that the majority of parents’ parenting techniques were democratic (64.5%), while the majority of children demonstrated high socialization skills (71%). Bivariate analysis revealed a significant correlation between parenting styles and socialization skills in children aged 4-5 years at Sai Prema Kumara Kindergarten, Denpasar (p-value < 0.05). Future researchers are encouraged to investigate other variables that can give the appropriate stimulus to maximize sociability skills in preschool children.

Conclusion: Based on the results of the analysis using the Chi-square statistical test between parental parenting and socialization ability in children aged 4-5 years at PAUD Sai Prema Kumara, the significance result obtained was 0.022 so that the p value < 0.05. This shows that there is a relationship between parental parenting and the socialization ability of children aged 4-5 years at PAUD Sai Prema Kumara.

Factors Associated with Physical Activity among Study Participants at Buho-Buho Primary Health Center, Pulau Morotai Regency

Fahrudin M Abas — 2026-04-28

Introduction: Physical activity plays an important role in maintaining health and preventing non-communicable diseases. However, levels of physical activity are influenced by various demographic and lifestyle factors, particularly in primary healthcare settings.

Objective: This study aimed to analyze factors associated with physical activity among study participants at Buho-Buho Primary Health Center, Pulau Morotai Regency

Method: This study employed an analytical observational design with a cross-sectional approach. A total of 69 participants were included using a total sampling technique. Physical activity was categorized as active and physically inactive. Independent variables included demographic characteristics (gender, age group, marital status, educational level, and employment status) and lifestyle factors (smoking habits). Data were analyzed using SPSS version 26. Descriptive analysis was presented as frequencies and percentages, while bivariate analysis was conducted using the Chi-square test or Fisher’s exact test, with a significance level of p < 0.05.

Results: The results showed that gender (p = 0.013), age group (p < 0.001), employment status (p = 0.020), and smoking habits (p = 0.006) were significantly associated with physical activity. Marital status and educational level were not significantly associated with physical activity.

Conclusion: Physical activity was significantly associated with gender, age group, employment status, and smoking habits among study participants. These findings highlight the importance of considering demographic and lifestyle factors in promoting physical activity at the primary healthcare level.

The Relationship Between Family Support and Compliance with Iron Chelation Medication in Thalassemia Adolescents

Rahil Ashvia — 2026-04-28

Introduction: Treatment adherence is a significant challenge for thalassemia patients. Iron chelation medication must be taken for life, and therefore, family support is essential to achieve adherence. To determine the relationship between family support and iron chelation medication adherence in thalassemia patients.

Method: This study used a quantitative cross-sectional approach. Data were collected using a questionnaire from a sample of 120 respondents.

Results: The statistical test yielded a p-value of 0.027 <0.05, concluding that there is a significant relationship between family support and iron chelation medication adherence in adolescents with thalassemia. Most family support was categorized as good, and on average, adolescent thalassemia patients were considered compliant

Conclusion: Family support is related to medication adherence. Therefore, families are expected to continuously monitor and provide attention to their sick family members and consistently remind them to take their medication.

Analysis Of Patient Satisfaction With The Implementation Of Bedside Handover In The Inpatient Ward Of Eka Hospital PIK

Maya Sari — 2026-04-28

Introduction: Effective clinical communication is a critical determinant of patient safety and satisfaction in healthcare services. Bedside handover, a structured communication process conducted at the patient’s bedside, is widely recommended to support patient-centered care. However, its implementation remains inconsistent, particularly in private hospital settings. This study aimed to analyze the relationship between bedside handover implementation and patient satisfaction in Eka Hospital PIK.

Method: This study employed an analytical observational design with a cross-sectional approach. A total of 60 inpatients were selected using a total sampling technique. Data were collected using a bedside handover observation checklist based on SBAR standards and a modified version of the Newcastle Satisfaction with Nursing Scale (NSNS). Data were analyzed using the Chi-square test with a significance level of p < 0.05.

Results: The majority of bedside handover practices were categorized as good (56.7%), while patient satisfaction levels were predominantly high (61.7%). Statistical analysis revealed a significant relationship between bedside handover implementation and patient satisfaction (p = 0.002).

Conclusion: Bedside handover has a significant influence on patient satisfaction. Strengthening communication quality and enhancing patient involvement are essential strategies to improve healthcare service outcomes.