ProHealth Journal

Hubungan antara Tingkat Kecemasan dengan Peningkatan Tekanan Darah pada Pasien Pra Operasi Virectomy

2026-07-01T04:15:41+00:00

Anxiety is a common psychological response in preoperative patients, including those undergoing vitrectomy, and it can affect physiological conditions such as increased blood pressure. Unstable blood pressure before surgery may delay the procedure and influence the need for anesthetic drugs. This study aimed to determine the relationship between anxiety levels and increased blood pressure in preoperative vitrectomy patients at the Baitul Ma’ruf inpatient ward of Sultan Agung Islamic Hospital Semarang. This research employed a quantitative design with a cross-sectional approach involving 100 respondents selected through total sampling during July–August 2025. Anxiety levels were measured using the Zung Self Rating Anxiety Scale, while blood pressure was measured using a calibrated digital sphygmomanometer at 24 hours and 3 hours before surgery. Data were analyzed using Spearman’s Rank correlation test. The results showed that most respondents experienced mild anxiety (65%) and mild increases in blood pressure (77%), with a p-value < 0.001 and a correlation coefficient of 0.574, indicating a significant relationship with moderate correlation strength. It can be concluded that anxiety is significantly associated with increased blood pressure in preoperative vitrectomy patients, highlighting the importance of nursing interventions to manage preoperative anxiety in order to stabilize blood pressure and prevent complications or surgical delays.

Hubungan Literasi Sains dengan Kemampuan Clinical Decision Making Mahasiswa Keperawatan

2026-07-03T02:22:27+00:00

Clinical decision making ability is one of the important competencies that nursing students must possess in providing appropriate and safe nursing care. One of the factors influencing this ability is scientific literacy. Scientific literacy helps students understand scientific concepts, interpret health data, and make decisions based on scientific evidence. This study aimed to determine the relationship between scientific literacy and clinical decision making ability among nursing students at STIKes Hamzar. This research used a quantitative method with a cross sectional design. The sample consisted of 150 respondents selected using proportionate stratified random sampling technique. Research instruments used scientific literacy questionnaires and clinical decision making questionnaires. Data were analyzed using the Spearman Rank test. The results showed that most respondents had good scientific literacy levels (62.7%) and high clinical decision making ability (58.7%). Spearman Rank test showed p-value = 0.001 (<0.05) with correlation coefficient r = 0.682, indicating that the alternative hypothesis was accepted. The conclusion of this study showed a significant relationship between scientific literacy and clinical decision making ability among nursing students at STIKes Hamzar.

Perbedaan Produksi Air Susu Ibu (ASI) Sebelum dan Sesudah Pemberian Pijat Oketani pada Ibu Menyusui

2026-07-03T02:22:52+00:00

Breastfeeding is a crucial process for the growth and development of infants, yet it is not uncommon for mothers to experience difficulties in producing sufficient breast milk. This study aims to analyze the differences in breast milk production before and after applying Oketani massage in breastfeeding mothers at the Independent Practice Location of Midwife Made Sri Devi Indrawati, S. Keb., Bd. The study used a pre-experimental pretest posttest one group design and an observational method with a quantitative approach. The intervention was carried out once a day for 15-20 minutes for 3 consecutive days. The respondents consisted of 20 breastfeeding mothers with diverse characteristics regarding age, education, occupation. The results showed that before the Oketani massage, 45% of mothers had insufficient breast milk production, and 55% had adequate production. In contrast, 55% had abundant production after the massage, 40% had adequate production, and only 5% had insufficient production. The Wilcoxon statistical test indicated a significant difference with a p-value of 0.000 < 0.05, meaning that breast milk production before and after the Oketani massage showed a significant difference. Oketani massage can be an effective alternative in increasing breast milk production, especially for mothers who struggle to produce sufficient breast milk. It is concluded that Oketani massage is effective in increasing breast milk production in breastfeeding mothers. It is recommended that midwives educate breastfeeding mothers on Oketani massage so that they can try this technique with professional assistance and so that future researchers can conduct comparative studies with a control group.

Efektivitas Murrotal Al – Quran terhadap Durasi Tidur pada Bayi Usia 6-12 Bulan

2026-07-03T02:24:08+00:00

Sleep duratio in toddlers is a factor that influences infant growth. To support good sleep duration, Murrotal Al-Quran treatment is necessary as a non-pharmacological therapy. This study aims to determine the effectiveness of Al-Quran murrotal therapy on sleep duration in infants aged 6-12 months in the Kabila Community Health Center Work Area. The research method used was a quasi-non-equivalent experiment with a control group pre-post test design approach. The study sample consisted of 32 individuals divided into two groups: an intervention group and a control group of 16 individuals each. Sleep duration was measured using an observation sheet. The results showed that only one participant met the required sleep duration during the pre-test intervention, and 12 participants met the required sleep duration during the post-test intervention. The statistical test showed a p-value of 0.001 (p<0.005), indicating the effectiveness of Quran recitation therapy on sleep duration in infants aged 6-12 months. The conclusion of this study is that Quran recitation therapy is effective on sleep duration in infants aged 6-12 months.

Gambaran Kejadian Partus Prematurus Imminens

2026-07-03T02:23:05+00:00

Partus Prematurus Imminens (PPI) is a threat to pregnancy caused by signs of labor in a gestational age of less than 37 weeks. PPI that is not immediately treated will result in premature labor. The purpose of this study was to determine the incidence of Partus Prematurus Imminens at the Wangaya Regional General Hospital, Denpasar City. This type of study was descriptive with a cross sectional approach. The study was conducted on March 3 to May 14, 2025. The population of this study were all pregnant women with Partus Prematurus Imminens in 2020 - 2024 at the Wangaya Regional General Hospital, Denpasar City, the total population were 286 people. The sampling technique used was purposive sampling. The sample size was 167 subjects. The type of data was secondary data. Data was collected with a check list sheet. Data analysis used univariate analysis. The results of this study, the incidence of PPI at Wangaya Regional General Hospital, Denpasar City was 83.8% at the age of 20-35 years, 83.2% in high school education, 50.9% in working mothers, 50.3% in nulliparous, 18.6% in mothers with a history of abortion, 20.9% in mothers suspected of UTI, 15% in mothers with anemia, 50.3% of antenatal visits were inappropriate and never ANC, 89.8% of conservative care was successful. The conclusion of this study, the incidence of PPI in Wangaya Regional General Hospital, Denpasar City is highest in the age of 20-35 years, high school education, working mothers, nulliparous, and ANC is not appropriate or has never been ANC. The study suggest that pregnant women have ANC according to standards, limit heavy activities, and and get enough rest. In future study, it is recommended to use primary data.

Pengaruh Pemberian Buah Kurma Terhadap Peningkatan Kadar Hemoglobin Ibu Hamil

2026-07-01T04:30:29+00:00

Low hemoglobin levels in pregnant women are a common health problem and can increase the risk of pregnancy complications, preterm delivery, and maternal-infant mortality. This condition is mostly caused by iron deficiency. Although the government has implemented efforts to distribute Iron-Folic Acid tablets (TTD) to prevent anemia, some pregnant women have not adhered. Contributing factors include poor adherence to TTD consumption, and side effects experienced by some pregnant women. This indicates the need for administration of dietary alternatives. One such alternative is date fruit consumption, which contains iron and antioxidants that may help increase hemoglobin levels. This study aimed to determine the effect of date fruit consumption on hemoglobin levels among pregnant women in the work area of the Talaga community health center. The study employed a two-group pretest-posttest design, consisting of an intervention group and a control group. The results showed a significant difference in hemoglobin levels. The intervention group increased from 10.13 g/dL to 11.18 g/dL, while the control group increased from 10.27 g/dL to 10.29 g/dL. Statistical analysis revealed that the difference in hemoglobin levels in pregnant women who consumed dates was significant with a p-value < 0.05. In conclusion, seven days consumption of dates can serve as an effective nutritional supplement for preventing and managing anemia during pregnancy.

Efektivitas Kombinasi Pelaksanaan Labor Dance dan Terapi White Noise dalam Penurunan Intensitas Nyeri Persalinan Kala I Fase Aktif

2026-07-03T02:23:17+00:00

The majority of women will experience pain during the childbirth process as a result of uterine contractions, and each mother in labor will interpret pain differently from the same stimulus based on the pain threshold they feel during the birthing process. Severe labor pain that is not appropriately managed will interfere with the smoothness of the labor process, thus pain management techniques such as white noise and labor dance are required. The purpose of this study was to determine how well the combination of labor dance and white noise therapy worked in reducing the intensity of labor pain during the first active phase in the PONEK ward of Mangusada Regional Hospital. This study used a quantitative research approach, a quasi-experimental research design, a nonequivalent control group design, and an accidental sampling strategy involving 30 giving birth women during the first active phase. The participants were placed into two groups: the control and the intervention group. The Wilcoxon Signed Test was used to compare the outcomes of the pre-test and post-test, and the Mann Whitney U-Test was used to compare the control and the intervention group. There was a difference in pain intensity between mothers in the first active phase of labor in the control group after being given routine care and the intervention group after being given a combination of labor dance and white noise therapy with a p value = 0.016 < 0.05 so it can be concluded that the combination of labor dance and white noise therapy was effective in reducing labor pain intensity inthe first active phase in the PONEK ward of Mangusada Regional Hospital. It is intended that the combination of labor dance and white noise therapy would be prescribed as a complementary therapy and used to alleviate labor pain, allowing labor to proceed gently and smoothly.

Perbedaan Pengetahuan dan Penerapan Konsumsi Protein pada Ibu Hamil Sebelum dan Sesudah Diberikan Edukasi Nutrisi dengan Media Booklet

2026-07-03T02:23:56+00:00

The World Health Organization (WHO) notes that 40% of maternal deaths in developing countries are related to chronic energy deficiency. The prevalence of Chronic Energy Deficiency (CED) among pregnant women in Indonesia is 16.9%, a figure that has not yet reached the target of 10% set by the Ministry of Health of the Republic of Indonesia in the 2024 Ministry of Health Strategic Plan. One method of education to prevent CED is nutrition education which can be conducted face-to-face accompanied by the provision of booklets. This research analyzes the differences in knowledge and application of protein consumption among pregnant women before and after receiving nutrition education using booklets, carried out from March to April. This type of research uses a one group pretest-posttest approach before and after the intervention. The results of this study indicate that before being provided with nutrition education using a booklet, pregnant women had a lowest knowledge score of 47 and the highest score of 80, with an average score of 66.74, and the majority of mothers had an inappropriate protein consumption application. After being provided with nutrition education using a booklet, pregnant women had a lowest knowledge score of 60 and the highest score of 93, with an average score of 76.62, and the majority of mothers had an appropriate protein consumption application. The Wilcoxon test results showed a p-value of 0.000 < 0.05, indicating a difference in knowledge and application of protein consumption among pregnant women before and after nutrition education was provided using booklet media. The researcher hopes that this study can be beneficial for the development of knowledge, pregnant women, healthcare services, and the community.

Gambaran Karakteristik dan Pengetahuan Ibu tentang Pemberian Air Susu Ibu (ASI) Eksklusif pada Bayi Usia 6-12 Bulan

2026-07-03T02:23:30+00:00

Breast milk is a complete and essential source of nutrition for infants and is recommended by the World Health Organization (WHO) to be provided exclusively for the first six months of life to support optimal growth and development. Despite these recommendations, the rate of exclusive breastfeeding in Indonesia remains low, contributing to an increased risk of illness and developmental issues among infants. This study aims to describe the maternal characteristics and level of knowledge regarding exclusive breastfeeding for infants aged 6–12 months at UPTD RSUD Gema Santi Nusa Penida. A descriptive quantitative design was employed using a cross-sectional approach. The study sample consisted of 43 mothers with infants aged 6–12 months who visited the hospital on May 2025. The sample size was determined using Slovin’s formula and selected through purposive sampling. Primary data were collected using a validated and reliable questionnaire. The results showed that the majority of mothers were aged between 20–35 years, were multiparous, had a middle level of education, worked as laborers or private employees, and had working hours of >8 hours per day, with a fairly good level of knowledge. Most mothers demonstrated an adequate level of knowledge about exclusive breastfeeding, despite the relatively low level of practical implementation, and a limited understanding of lactation management. It is recommended that midwives enhance lactation counseling services and expand educational efforts concerning expressed breast milk. Additionally, mothers are encouraged to actively seek reliable information sources regarding breastfeeding.

Pengaruh Edukasi tentang Perencanaan Kehamilan dan Kesehatan Reproduksi terhadap Pengetahuan Pasangan Usia Subur

2026-07-01T04:33:20+00:00

The high number of maternal deaths in Indonesia demonstrates the importance of health promotion efforts, particularly regarding pregnancy planning and reproductive health. This study aimed to determine the effect of pregnancy planning and reproductive health education on the knowledge of fertile couples in the Dungingi Community Health Center (Puskesmas). The study employed a single-group pre-experimental design with a pretest and posttest, involving 30 fertile couples selected using a simple random sampling method. The instruments used in this study were a questionnaire and educational media in the form of a booklet. Data were analyzed using univariate and bivariate methods using the Wilcoxon test. The results showed that before the education, respondents' knowledge was categorized as poor (16.7%), sufficient (73.3%), and good (10%). After the education, the sufficient category decreased to 53.3%, the good category increased to 46.7%, and the poor category decreased to 0%. The average knowledge score also increased from 13.10 (SD=1.72) in the pretest to 15.30 (SD=1.44) in the posttest. The Wilcoxon test showed a p-value of 0.000, indicating a significant effect of education in improving the knowledge of fertile couples. The conclusion of this study is that education about pregnancy planning and reproductive health is effective in improving the knowledge of fertile couples. This intervention should be implemented routinely, especially for young people and those with secondary education, using easy-to-understand media such as booklets. It is recommended for health workers to expand similar educational programs in primary care facilities to support healthy pregnancy preparedness and reduce the risk of unsafe pregnancies.

Pengaruh Pemberian Edukasi Variasi Makanan terhadap Peningkatan Berat Badan Balita Gizi Kurang

2026-07-01T04:33:26+00:00

Malnutrition is the result of a child's nutritional needs not being met for a long time, characterized by a weight for age below the standard deviation (<2 SD). Malnutrition is the result of a child's nutritional needs not being met for a long time. Consequently, malnutrition in children can disrupt the growth and development of their brains and physical development. This study aims to determine the effect of providing education about varied food choices on weight gain in malnourished toddlers. This research method is quantitative with a Quasi-Experimental, Nonequivalent Control Group design. The sample used in this study was 50 malnourished toddlers, meeting the inclusion criteria. Digital scales were used to measure the toddlers' weight. Data analysis was performed using the chi-square test. The results showed a significant effect between providing education on dietary variety and weight gain in malnourished toddlers (p ≤ 0.001). The conclusion of this study is that there is a significant effect between providing education on dietary variety and weight gain in malnourished toddlers. An effective preventive measure is through education on dietary variety for parents/caregivers to increase the weight of malnourished toddlers.

Hubungan Sosial Ekonomi dan Kepatuhan Konsumsi Tablet Tambah Darah dengan Kejadian Anemia pada Ibu Hamil

2026-07-03T02:23:43+00:00

Anemia in pregnant women remains a health problem with serious impacts on maternal morbidity and mortality. Socioeconomic factors such as education level, family income, and access to health services and compliance with iron supplement tablet consumption are thought to be related to the incidence of anemia which is the main intervention in preventing anemia. This study aims to analyze the relationship between socioeconomic factors and compliance with iron supplement tablet consumption with the incidence of anemia in pregnant women in the working area of Puskesmas 1 Melaya. This type of research is a correlation analytic study, using a cross-sectional approach. The research sample of 38 people was taken by purposive sampling. The research instrument used a questionnaire and interview. The results of the study income> 3.5 million and 1.5-2.5 million, each as many as 12 people (31.6%; 73,7% of pregnant women every day consumed iron supplements daily; 21% of mothers experience anemia. Spearman's Rank test between income and the incidence of anemia obtained a p value: 0.021 and compliance with iron supplement tablet consumption with the incidence of anemia obtained a p value: 0.000. Conclusion: there is a relationship between socio-economic and compliance with iron supplement tablet consumption with the incidence of anemia in pregnant women at Puskesmas 1 Melaya in 2025. Suggestions are expected for UPTD health workers. Puskesmas I Melaya provides education on the importance of consuming iron tablets for pregnant women.

Peran Orang Tua dalam Upaya Pencegahan Kekerasan Seksual Pranikah pada Remaja

2026-07-03T02:22:40+00:00

Sexual violence among adolescents remains a serious issue that requires close attention due to its potential physical, psychological, and social impacts. Several factors increase adolescents’ vulnerability to sexual violence, including limited parental supervision, poor communication within the family, and a lack of sexual education provided at home. Parents play a crucial role in shaping adolescents’ knowledge, attitudes, and behaviors by providing sexual education, instilling moral values, and monitoring their social environment as well as their use of social media. This article aims to analyze the role of parents in preventing sexual violence among adolescents through a literature review approach. The review was conducted by examining five scholarly articles published between 2020 and 2025. The findings indicate that open communication between parents and children, early sexual education, emotional support, and effective supervision contribute to increasing adolescents’ awareness of sexual violence risks and reducing their vulnerability to such incidents. Conversely, low parental involvement may increase adolescents’ susceptibility to various forms of sexual violence. Therefore, strengthening parental roles is essential in creating a safe, supportive, and educational family environment as a preventive measure against sexual violence among adolescents.