JURNAL KESEHATAN STIKes MUHAMMADIYAH CIAMIS

Nonmaleficence in Paediatric Patients With Diarrhoea : A Concept Analysis

Wulan Anugrah Pauji Salam — 2025-03-31

Diarrhoea is still a world health problem, from WHO data diarrhoea is the number one cause of death of toddlers Proper handling will minimise the occurrence of complications that will occur in children with diarrhoea, so the actions taken by nurses must be in accordance with existing procedures and not harm the patient.The purpose of concept analysis in this study was to obtain relevant definitions of non-maleficence in paediatric patients with diarrhoea.The concept analysis method in this study uses Walkers and Avants 2014. Databases that have been obtained from various sources including PUBMED, Google Scholar, by writing the keywords ‘Diarrhoea in Children’, ‘Nonmaleficence’, with the year of publication 2010 to 2024 in English or Indonesian. The principle of non-maleficence requires that every action does not harm or harm either physically or psychologically, and applies that the action taken must outweigh the harm received by the patient and not offend. The concept of non-maleficence used by nurses explaining to the patient's parents with simpler language

Effectiveness of Murottal Therapy on Blood Pressure Reduction in Hypertensive Patients: A Systematic Review

Nisya Konita — 2025-03-31

Hypertension is a non-communicable disease with the highest incidence and mortality rate in the world. This study aims to evaluate the effectiveness of murottal therapy on reducing blood pressure in hypertensive patients. This research method uses a systematic review method, with data sources coming from Google Scholar and Garuda Portal. Articles were taken according to the inclusion criteria, namely Quasy-experiment design research, involving hypertensive patients, and full-text articles published in the period 2020-2024. Exclusion criteria included articles that did not meet the full research structure, review-based articles, or articles with content that was not relevant to the topic. From the search results there were 1,414 articles, then there were articles that were in accordance with the research topic and the final analysis results were six relevant articles analyzed using the PRISMA framework. The results of the review showed that murottal therapy was effective in reducing blood pressure, accompanied by significant statistical test results on upper (systole) and lower (diastole) pressure. This therapeutic effect is thought to be related to the ability of murottal to provide relaxation, reduce anxiety, and stabilize hormones that affect blood pressure. This study recommends murottal therapy as a non-pharmacological approach to help manage hypertension.

The Effect of Rheumatic Gymnastics on Reducing Joint Pain in Elderly People With Rheumatoid Arthritis: A Literature Review

Nina Pamela Sari — 2025-03-31

A person is said to be elderly when they reach the age of 60 and experience various changes. Elderly is the last stage of life growth. Rheumatoid arthritis is one of the causes of chronic disease and reduced motor function in the elderly which leads to musculoskeletal disease. One type of physical activity that can help overcome joint discomfort is rheumatic exercise. This study aims to ascertain whether rheumatic exercise can reduce joint discomfort in older adults suffering from rheumatoid arthritis. The four keywords “elderly” AND “rheumatic exercise” AND “pain” AND “rheumatoid arthritis” were used in this literature review, which was retrieved from research materials found in the Google Scholar database. Five journals related to the research topic were found. The findings of the five articles reviewed showed that rheumatic exercises are effective in lowering joint pain scores in older adults with rheumatoid arthritis. The majority of studies found that rheumatic exercises are effective in reducing joint pain scores in older adults suffering from rheumatoid arthritis. For future researchers, it is expected to expand the scope of references not only from Google Scholar.

Knowledge, Attitudes and Practices Regarding Smoking Prevention Among Students of Jakarta Global University

Ahda Sabila — 2025-03-31

Students need good knowledge, attitudes, and behavior in maintaining a healthy lifestyle, especially in avoiding smoking and understanding its dangers, to set a good example for the public and younger generations. This study aims to examine the knowledge, attitudes, and practices (KAP) of students regarding smoking habits at Jakarta Global University (JGU). The research uses a descriptive quantitative method with an online questionnaire involving 105 respondents. The results show that most students are aged 18 to 22 years (86.7%), with the majority from the pharmacy department (43.8%). Students' knowledge about the dangers of smoking is quite good, although challenges remain in improving their understanding of the serious health risks. Their attitudes demonstrate strong belief in the effectiveness of anti-smoking campaigns, with 67.6% of respondents agreeing that smoking has a severe negative impact on health. The practice of smoking prevention is also relatively high, with 64.8% of students supporting smoking cessation programs and replacing smoking habits with healthy activities. The study concludes that students' knowledge, attitudes, and behavior regarding smoking habits are generally good. However, further education is needed to ensure effective smoking prevention and reduce the associated health risks.

The Importance of Management Family-Centered Care Model in Stroke Recovery : A Comprehensive Examination

Windri Dewi Ayu — 2025-03-31

Stroke is a substantial health issue that affects numerous individuals and their families. Stroke survivors and their carers sometimes face difficulties when transitioning from the hospital to their home. Implementing a family-centered care approach throughout rehabilitation is crucial for properly addressing the needs of both parties. Although advantageous, this strategy may give more importance to the worries of family members rather than those of the stroke survivors themselves. The objective of this study was to assess the efficacy of a family-centered care approach in stroke rehabilitation by an analysis of existing research literature and the examination of outcomes. This integrated literature study employs a methodology that investigates databases like Scopus, PubMed, Researchgate, and Google Scholar across several nations such as the United States, Canada, Australia, England, South Korea, the Netherlands, Japan, and others. The results indicated that implementing a family-centered care approach in stroke therapy yielded significant enhancements in the Both groups' physical and mental well-being. The existing body of research suggests that the involvement of family members in the provision of care and support for individuals who have experienced a stroke leads to enhanced outcomes in relation to physical functioning, psychological well-being, and overall quality of life. In stroke rehabilitation, the implementation of a family-centered care approach ultimately leads to favorable outcomes for both stroke patients and their caregivers. Future research should place emphasis on the discovery of specific strategies for effective implementation and the evaluation of the long-term effects of these approaches on persons who have suffered a stroke and their family members.

Case Study: Topical Tribee Ointment Application with Moist Dressings in a Postoperative Diabetic Foot Ulcer Amputation Patient

Andan Firmansyah — 2025-04-10

Diabetic foot ulcers are one of the most common and severe complications in patients with Diabetes Mellitus, often resulting in infections and amputations. Optimal wound care is crucial to accelerate healing and prevent further complications. a herbal ointment containing tea tree oil (Melaleuca alternifolia), vitamin E, and honey, has demonstrated antimicrobial, anti-inflammatory, and wound-healing properties. This case study aims to evaluate the effectiveness of topical Tribee ointment application using moist dressings in promoting wound healing in a postoperative diabetic ulcer amputation patient with a high risk of infection. This case study applied a nursing care process including assessment, diagnosis, intervention, implementation, and evaluation over four sessions with two-day intervals at the patient’s home. The nursing diagnosis was established using the Indonesian Nursing Diagnosis Standards (SDKI), with interventions guided by the Indonesian Nursing Intervention Standards (SIKI), and outcomes assessed through the Indonesian Nursing Outcome Standards (SLKI). The SOAPIER format was used for documentation. The patient was diagnosed with a high risk of infection (D.0142) related to post-amputation wounds. After receiving wound care with topical Tribee ointment and moist dressings for four sessions (30 minutes each), the patient's wound condition improved significantly, as measured by the Bates-Jensen Wound Status Continuum, with a score decrease from 35 to 28. Topical Tribee ointment combined with moist dressings is effective in enhancing wound healing in patients with diabetic foot ulcers, particularly those at high risk of infection.

Local Community Knowledge About Medicinal Plants in Ethnic Countries on Sumbawa Island

Nila Yuliana — 2025-04-20

Background & Objective: Local cultural wisdom on Sumbawa Island related to health is still lacking, in this case it is necessary to get attention from health workers, especially the materials used by the community regarding the safety of the materials used. The objectives of the study were (1) to find out the types of medicinal plants used daily by the people of Sumbawa Island (Sumbawa Ethnic Group, Bima Ethnic Group, Dompu Ethnic Group), (2) to reveal how the people of Sumbawa Island (Sumbawa Ethnic Group, Bima Ethnic Group, Dompu Ethnic Group) obtain and utilize medicinal plants as traditional medicine. Metode: The research approach used in this study is a qualitative approach with an exploratory survey. Result: The results of the interview on medicinal plants originating from Sumbawa are: Babak Pohon Juwet, Babak pohon kemang kuning, Serat Kuku, Mentawer, Babak Tapulet, Kapas Niwang, Sepeda Api, Turi Ungu, Sukun. Conclusion: (1) The types of medicinal plants used daily by the people of Sumbawa Island are 81 types. (2) The way the people of Sumbawa Island obtain and utilize medicinal plants as traditional medicine is obtained from around the house/yard, fields/gardens, and from the forest. The way to process medicinal plants is by boiling the parts of the plant that are utilized, such as tree bark, roots, and leaves, and drinking the water, making a paste to be applied, and drying them to be made into potions.

Implementation of Wound Care with Simple Island Dressing Technique in Inguinal Hernia Lateralis Postoperative Patients

Ade Fitriani — 2025-04-10

A Lateral inguinal hernia is a protrusion of the contents of the abdominal cavity that comes out of the peritoneal cavity through the weak part of the abdominal wall which contains the intestines, intestinal suspension or other abdominal organs. According to the category of causes of disease in Indonesia in 2020, hernia was ranked eighth. Lateral inguinal hernias result from weakening of the abdominal wall and are caused by increased intra-abdominal pressure. Lateral inguinal hernia requires immediate surgical treatment to prevent dangerous complications. This surgical procedure is called a herniotomy. After post-operative herniotomy, to avoid infection, post-operative wound care is required, namely by treating the wound with a simple island dressing technique. This case study aims to determine the results of implementation of wound care using the simple island dressing technique. This research uses a descriptive method of case study design with a nursing care approach, including assessment, diagnosis planning, implementation and evaluation. Data collection through interviews, observation, physical examination and documentation studies. The results of a case study after being given wound care using the simple island dressing technique to a post-operative patient, Mr. R the condition of the wound improved, there were no signs of infection or complications. Conclusion of post-operative care performed on post-operative patients with lateral inguinal hernia. The author planned and implemented the simple island dressing technique so that the wound improved and no signs of infection appeared.

Risk Factor Analysis of Hypertension in Adolescents in Banjar City

Aneng Yuningsih — 2025-04-25

Background: The prevalence of hypertension among adolescents is increasing at an alarming rate, especially in Indonesia, driven by modern lifestyle changes and unhealthy dietary habits.

Objective: This study aims to identify and analyze lifestyle-related risk factors contributing to hypertension among adolescents in Banjar City, West Java.

Methods: A cross-sectional quantitative study was conducted involving 286 adolescents aged 13-18, selected using random sampling. Data were collected via an online questionnaire and analyzed using descriptive statistics, chi-square tests, and binary logistic regression.

Results: A total of 70.6% of respondents were categorized as high-risk and 11.9% as very high-risk for hypertension. Significant contributing factors included late-night eating habits (OR=4.85; p<0.005), consumption of high-sodium processed foods (OR=2.48; p<0.005), and inadequate water intake (OR=1.97; p<0.05).

Conclusion: Unhealthy lifestyle patterns particularly poor eating and hydration habits are major determinants of adolescent hypertension. School and family-based interventions are essential to instill healthy behavior from a young age.

A Descriptive Study of Adolescent Lifestyle and Cardiovascular Disease Risk in Senior High School

Wayunah Wayunah — 2025-04-25

Introduction: Common adolescent behaviors such as consuming fast food, high-sugar beverages, lack of physical activity, and excessive screen time are major contributing factors to the emergence of CVD among youth. Early detection of risk factors during adolescence is essential to prevent the progression of CVD later in life.

Objective: This study aims to describe CVD risk factors among high school students.

Method: A descriptive design, data were collected through questionnaires distributed to 162 twelfth-grade students at a public senior high school in Tasikmalaya, using accidental sampling. Data were analyzed using descriptive statistics (frequency and percentage).

Result: The average age was 17 years, with the majority being female (63%). A total of 89.5% of respondents lived in urban areas, 63% showed a tendency toward light physical activity, 58.6% consumed junk food 1–2 times per week, 18.5% had a smoking habit, and 63% experienced significant stress.

Conclusion: These findings indicate that adolescents' current lifestyle is prone to CVD risk factors. Integrated interventions through health education in school and family environments are necessary to raise awareness of the importance of a balanced diet, adequate physical activity, and effective stress management to prevent the future development of CVD.

Impact of Intermittent Fasting on Genes Involved in Neurodegenerative Diseases

Rizky Amalia Siregar — 2025-04-25

Neurodegenerative diseases, characterized by progressive neuron loss, present a significant global health challenge. Recent research highlights the role of genetic expression in these diseases, with lifestyle interventions, such as dietary changes, shown to influence gene expression linked to neurodegeneration. One promising approach is intermittent fasting (IF), a dietary method alternating fasting and eating periods, which affects biological processes like cellular repair, inflammation, and metabolism. Emerging evidence suggests IF may also alter gene expression related to neurodegenerative diseases, potentially reducing risk and slowing progression. This review examines current studies on the impact of IF on gene expression in neurodegeneration, exploring its mechanisms and implications for new therapeutic and preventive strategies.

Medication Adherence and Lifestyle Modification in Pregnant Women with Hypertension

Etty Komariah Sambas — 2025-04-25

Hypertension in pregnancy is a leading cause of maternal and fetal morbidity and mortality, contributing to 10% of global pregnancies and 412 maternal deaths in Indonesia in 2023. Proper management through medication and lifestyle changes is essential, but adherence remains low due to misinformation, fear of medication effects, and limited healthcare access. This study aimed to identify medication adherence and lifestyle modification in pregnant women with hypertension. A cross-sectional design was used with stratified random sampling. Data were collected through a validated questionnaire and analyzed descriptively. Results showed that 80.7% of respondents had high medication adherence and 77.2% had high lifestyle modifications. Significant associations were found between parity (p=0.042), history of hypertension (p=0.01), and ANC frequency (p=0.008) with medication adherence. Similarly, lifestyle modification was significantly associated with parity (p = 0.003), a history of hypertension (p = 0.000), and ANC frequency (p = 0.001). Multivariate analysis showed that ANC frequency predicted medication adherence (p=0.028), while history of hypertension predicted lifestyle modification (p=0.035). In conclusion, most pregnant women demonstrated high adherence levels. However, continuous health education, counseling, and family support are essential to maintain optimal maternal outcomes and reduce the risks associated with hypertensive disorders during pregnancy.

Keywords :

Hypertension, pregnancy, medication adherence, lifestyle modification.