Background: Behavior sexual risky for teenagers is one of problem health increasing reproduction increased . Factors environment , especially family , holding role important in to form behavior teenagers . Parents own role crucial in give supervision , education , and open communication related issue sexual . The lack of role parent can cause teenager more prone to do behavior sexual that is not safe . Objective : Study This aiming For know connection between role parent with behavior sexual risky for adolescents . Method : quantitative with cross sectional design Results: Results research shows that most teenager own knowledge which is less related to sexual behavior (62.5%) with the role of parents in adolescent development which is still lacking (67.7%) and as many as 82.3% of adolescents have engaged in sexual behavior. Analysis more carry on show No there is connection between knowledge ( p-value 0.629) on adolescent sexual behavior, but there is a relationship between the role of parents ( p-value 0.022) on sexual behavior. Conclusion: Parents have an important role in preventing unhealthy or risky sexual behavior in adolescents. Positive support and proper sex education from parents can help. adolescents gain accurate knowledge about sexual health, develop positive attitudes and prevent inappropriate sexual behavior.
Background: Infertility, a complex and diverse issue and in global, particularly within rural regions, it has been observed that a vast majority, approximately 80%, of individuals turn to practitioners of traditional medicine for assistance with various ailments, including infertility. Objective: Identify traditional practices used in the treatment of infertility in different countries, including herbal therapies, cultural rituals, and spiritual approaches. Design: In a systematic literature review conducted through the P.R.I.S.M.A, the keywords based on the research questions were "traditional medicine," "infertility," and "cultural practices." In processing article data for filtering using Zotero and scispase applications. The quality assessment tool of this study uses the Mixed Methods Appraisal Tool (MMAT). Data Sources: Databases including Google Scholar, PubMed, Science Direct, Wiley Library, and Scopus, from 2014 to 2024 searching on September 2024. Review Methods: Databases were selected for extract data then detailed analysis. The exclusion criteria are those that cannot open full access to the article, and the purpose of the theme is not linear. By synthesizing existing literature. The search yielded 1310 Google Scholar entries, four from Scopus, 233 from Science Direct, 3 from PubMed, and 188 from Wiley Library, 18 valids articles. Results: Particularly in global, that of rural and urban populations opt for traditional medicine. In developing countries, particularly within rural locales, it is to address numerous health challenges, including infertility. Modifications in diet and lifestyle, rooted in traditional medicine, have been demonstrated to enhance the treatment of infertility significantly. Support from family, friends, and professionals, though necessary, is insufficient to fulfil the needs of individuals facing infertility, who are especially susceptible to complex stresses Conclusion: The study reveals that the use of traditional medicine such as herbal therapies, cultural rituals, and spiritual approaches is very common, especially in developing countries and rural areas. Factors such as accessibility, affordability, and cultural beliefs are the main reasons people choose this method, however, although many traditional practices show positive results.
Background: Neurological deficits in acute ischemic stroke patients cause disrupted day living activities. The study aimed to analyze the difference in neurological deficits of acute ischemics stroke between patients with oxygen therapy in the stroke center room of Dr. Ramelan Hospital. Objectives: The study sample used total random sampling technique. Variable of this study were neurological deficit, using the NIHSS scale instrument is the National Institute of Health Stroke Scale and using the statistical Mann Whitney test. Methods: The research design used was quasi experiment. The population in the study was acute ischemic stroke patients in the stroke center room of RSPAL Dr. Ramelan Surabaya totaling 32 patients. Divide into 16 patients with oxygen therapy, 16 without oxygen therapy. The study was neurological deficit, using the NIHSS scale insrumen is the National Institute of Health Stroke Scale and using the statistical Mann Whitney Test. Results: The results showed that there was a significant difference in neurological deficit of two group with the Mann Whitney that P = 0.037 (P≤0.05). Conclusion: Acute ischemis stroke patients who are given oxygen therapy can cause decreased neurological deficits. The implications of this study are expected so patients can get oxygen therapy as the main therapy in the management of acute ischemic stroke.
Background: The high prevalence of chronic kidney disease has led many patients to undergo hemodialysis therapy, making them dependent on nurses for their care procedures. Hemodialysis nurses are not only responsible for performing dialysis but also for providing education, emotional support, and patient advocacy. This results in a high workload and an increased risk of experiencing compassion fatigue. Such conditions can negatively impact nurses' well-being and the quality of healthcare services due to physical exhaustion, emotional stress, and prolonged burnout. Objective: To analyze a review on compassion fatigue in hemodialysis nurses. Design: Scoping Review. Data Sources: The search was conducted using Google Scholar, PubMed, and EBSCO databases, with articles limited to the time range of 2015–2025. The search term used in Google Scholar was “intitle:compassion fatigue AND intext:hemodialysis nurse”, while in PubMed and EBSCO, the keyword used was “compassion fatigue AND hemodialysis nurse”. Review Methods: This scoping review follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses model, and the collected search results were synthesized for data analysis. Results: A total of six research articles were analyzed, which were then summarized based on the level of compassion fatigue, related factors, symptoms, and interventions applied to hemodialysis nurses. Conclusion: Compassion fatigue in hemodialysis nurses is influenced by workload, emotional interactions, and lack of social support. Further research is needed to standardize measurement tools, explore demographic and psychological factors, and develop effective interventions to enhance nurses' well-being and improve patient care quality.
Background: Health coaching is considered an effective multidisciplinary intervention for managing chronic diseases, such as diabetes mellitus. There is extensive research on the health coaching topic in diabetes management. However, its implementation varies given the lack of standardized regulation as a guiding principle. Objective: This study aims to explore health coaching concepts in diabetes management. Design: This was a scoping review. Data Sources: We searched relevant studies published from 2018 to 2022 using three journal databases, including PubMed, CINAHL, and Google Scholar. Review Methods: The selection is determined using PRISMA Flow Diagram Scoping Review with inclusion criteria and analyzed on the basis of data extraction and the TIDieR checklist. Results: Nine articles were included in this study. Most of the articles revealed that health coaching was delivered by healthcare professionals to help patients living with diabetes cope with their problems. Long-term (>6 months) application of health coaching effectively reduces the HbA1c level which indicates a positive effect on self-management. Face-to-face interactions, telephone conversations, virtual meetings, and home visits are the most common strategies applied in health coaching sessions. Conclusion: Tailored health coaching is proven as an alternative intervention to support patients with diabetes in achieving their desired goals. Thus, effective health coaching must be implemented based on individual preference.
Background: One comprehensive instrument for assessing different facets of sexual self-concept is the Multidimensional Sexual Self-Concept Questionnaire (MSSCQ). Its adaptation into different languages and cultural contexts is essential for cross-cultural research. Objectives: To assess the reliability and validity of the MSSCQ's Indonesian version in gauging sexual self-concept. Design: Observational research with a cross-sectional design. Methods: The study began with a two-stage translation process of the MSSCQ questionnaire into the Indonesian version. Subsequently, validity and reliability tests were conducted on 30 diabetes mellitus outpatients at Tanjungpura University Hospital using purposive sampling techniques. Data were analyzed using Pearson Correlation with statistical software. Results: All items across the 20 subscales demonstrated validity with r calculated > r table and p-values < 0.05. The Cronbach's Alpha values for all subscales were > 0.70, indicating good internal consistency. Conclusion: The Indonesian version of the MSSCQ is a valid and reliable instrument for measuring sexual self-concept.
Background: The existence of the eruption of Mount Semeru certainly has a considerable impact on aspects of life, both in physical, social, psychological aspects, and has the potential to experience Post Traumatic Traumatic Stress Disorder (PTSD). Traumatic experiences can cause various disorders including physical, psychological and social development disorders which will have an impact on mental, emotional, social and personality disorders as well as disturbances in self-esteem. Objectives: To describe the PTSD in victims of natural disasters after the eruption of Mount Semeru. Methods: This study used a descriptive research design with a survey approach to respondents, with a total of 65 respondents. The sample used in this study was 65 respondents aged around 17 to > 65 years and over divided into the intervention group and the control group. This research was conducted in the Lumajang Regency Recolation area, using an instrument in the form of PCL-C from May to June 2023. Results: The results showed that the majority of respondents did not indicate symptoms of Post Traumatic Stress Disorder (PTSD) as many as 12 people (18.5%) and most of them indicated symptoms of Post Traumatic Stress Disorder (PTSD) from mild to severe severity as many as 53 people (81.5%). Most of them were aged between 17-45 years as many as 51 people (78.4%) and a small portion aged 46-65 years &> 65 years as many as 14 people (21.6%). Conclusion: The results of this study are expected to be used as a reference in the development of nursing interventions as an effort to reduce the symptoms experienced by PTSD sufferers
Background: Breastfeeding coverage in Indonesia is still low, including Padang City, especially in the Andalas Health Center working area, which is 51.1%, has not reached the national target of 90%. Self-efficacy is one of the main factors in increasing exclusive breastfeeding behavior. Self-efficacy is influenced by the mother's knowledge about how to overcome breastfeeding problems. Increasing knowledge can be done through the innovation of complementary therapy disc applications that can be accessed by mothers via Android. Objectives: This research aims to determine the effectiveness of implementing the cakoASI.id application on the self-efficacy of breastfeeding mothers in overcoming problems in breastfeeding. Methods: This research uses a pre-experimental design method with a one group pre-posttest design approach. This research will be carried out for six months in the Andalas Community Health Center working area. The sample in this study was breastfeeding mothers with babies aged <6 months. Purposive sampling technique will be used to determine the sample. The instrument that will be used is a questionnaire to determine self-efficacy. This research will be carried out within one year. The research results will be processed using the paired T test statistical test. Results: It was found that the mother's self-efficacy before was 41 and after was 59.8 with a p value of 0.000 (p≤0.05) which means that there is an influence of the use of the Android-based application intervention "cakoASI.id" on the self-efficacy of breastfeeding mothers. Conclusion: There is an effect of using the android-based application intervention "cakoASI.id" on the self-efficacy of breastfeeding mothers.
Background: Many emergency department nurses still lack adequate competency in performing triage, so hospital management needs to understand the right strategies to enhance triage competencies. Objective: The purpose of this scoping review is to identify and analyze the essential factors contributing to the improvement of nurses' triage competencies in hospitals. Methods: This scoping review was conducted by identifying scientific articles in five databases: ScienceDirect, ProQuest, Google Scholar, Wiley Online Library, and Springer Link. The authors used the keywords "emergency nurses" AND "triage competency" AND "emergency department." After identification, the authors selected and analyzed articles using PRISMA based on predefined inclusion and exclusion criteria. Studies obtained from various databases yielded 186 research articles, and from this number, 10 relevant articles were extracted for data analysis. Results: Ten studies were included in this scoping review, and the most important factor in improving triage competency was participating in triage training, providing innovative triage learning methods, and developing nurses' professional self-concept. This review shows that the most effective effort is to provide triage training, as it covers all triage related material in depth by applying various learning methods aligned with actual practice.Conclusion: This review found that triage training is the most effective factor in improving nurses' triage competency in hospitals.
Background: Supervision in several hospitals until now is still not optimal by the head of the room so that the direction function in nursing management does not run optimally which affects the quality of nursing care. This study aims to find factors that influence the implementation of supervision by the head of the room. Objective: This research uses the Scoping review method Data Sources: In the search using data sources from Google Scholar, Scient Direct and Pubmed. The search uses the keywords "nursing supervision" AND "faktors" AND "nurse management". Articles are filtered from the years "2018-2024", "free full text". Of all the articles found, there are 8 articles obtained for analysis. Review Methods: The review method uses a Scoping Review using the PRISMA diagram, and synthesis is carried out by removing the exclusion criteria. Results : The results of the study showed that from the 8 articles obtained, there were 4 factors that influenced trust and good relationships, supervisor workload, shared understanding of the implementation of supervision and supervisor competence. Conclusion: The results show that the supervision by the head of the room is less than optimal due to these factors. So it can be a recommendation for hospital institutions to make efforts to improve the nursing management function, especially the direction function in the form of supervision.
Background: Anemia remains a public health issue among pregnant women in Indonesia, including in the city of Depok. One of the causes is insufficient intake of micronutrients such as iron, folic acid, vitamin B12, and vitamin C, which play a crucial role in hemoglobin production. Objectives: This study aims to investigate the relationship between micronutrient intake and hemoglobin levels among pregnant women Methods: This study employed a cross-sectional design in Depok city, West Java, in April to May 2025. A sample of 107 pregnant women was selected using accidental sampling. Data were collected through interviews using a 24-hour Dietary Recall questionnaire and hemoglobin level test results from medical records. The Spearman Rank test was used for data analysis Results: The results showed that the majority of respondents had an adequate intake of micronutrients (81.3%) and hemoglobin levels in the non-anemic category (70.1%). A significant association was found between iron, folic acid, vitamin B12, and vitamin C intake and hemoglobin levels (p = 0.0001). A history of anemia was also strongly associated with hemoglobin levels (p = 0.0001; r = 0.706). Conclusion: Adequate intake of iron, folic acid, vitamin B12, and vitamin C plays a role in maintaining hemoglobin levels in pregnant women. Nutrition education and monitoring of micronutrient intake need to be improved in nursing practice to prevent anemia and pregnancy complications.
Youth mental health has increasingly become a global health concern. Depression in Indonesia has the highest rate of this age group compared to all age groups. Age 15-24 years is a key phase of identity formation, emotional growth, and social transition; therefore, mental health difficulties during this time can have lifetime effects. This review draws on recent literature to explore global patterns in youth mental health, to gain understanding into youth's perceptions, and a variety of social and digital influences as key barriers to early recognition and effective coping. The paper underscores the importance of promotive and preventive strategies, including mental health education, coping skills training, and early intervention programs. Emphasis is placed on culturally responsive and developmentally appropriate approaches that meet youth where they are—emotionally, socially, and digitally. Recommendations are offered for nursing and community practice, with a focus on building youth resilience and improving access to timely, stigma-free support systems.
Background: Mental health problems among university students are increasing and may lead to maladaptive coping behaviors, including self-harm. Self-harm is defined as intentional self-injury without suicidal intent, commonly used as a means of regulating emotional distress. Family support is considered a key protective factor that can enhance emotional stability and reduce the risk of self-harm behavior. Objective: This study aims to determine the relationship between family support and self-harming behavior in undergraduate nursing students at Muhammadiyah University of Surakarta Method: This research was quantitative with a correlational method. The sample used was 114 students, using a simple random sampling method. Data were collected using a demographic questionnaire, the Family Support Scale (FSS) consisting of 20 items, and the Deliberate Self-Harm Inventory (DSHI) consisting of 16 items. Results: A negative correlation is a relationship between two variables that move in opposite directions, where an increase in one variable is followed by a decrease in the other. In this study, a negative correlation indicates that the higher the family support received by students, the lower the tendency for self-harming behavior, and vice versa. The correlation coefficient value obtained from the Spearman test, r = -0.480, indicates a negative relationship with moderate strength. Conclusion: This can be interpreted as meaning that there is a relationship between family support and self-harming behavior in undergraduate nursing students at Muhammadiyah University of Surakarta.
Background: Hospitals are health service organizations providing integrated care by professional caregivers, including doctors, nurses, nutritionists, and pharmacists. Nursing care documentation is essential for patients, nurses, and the entire health team involved in service delivery. Complete documentation supports continuity of patient care, facilitates coordination among professionals, and contributes positively to patient safety. Therefore, the completeness of nursing documentation plays an important role in improving the overall quality of health services provided by hospitals in daily clinical practice settings. Subjective: This study aims to determine the optimization of the quality of nursing care documentation through nursing supervision training at RSIA Bunda Denpasar. Methods: This study uses a pre-experiment method with a one group pre-test post test design. This study included a population of 38 nurses on duty in inpatient and the sample in this study was taken with a total sampling technique of 38 people. This study uses the wilcoxon signed rank test. Results: The results of the Wilcoxon signed rank test obtained a significance value of < 0.005 for each variable so that supervision training was obtained to be able to optimize the quality of nursing care documentation through nursing supervision training in the Inpatient Room of RSIA Bunda Denpasar. Conclusion: Based on the research conducted, it can be concluded that the provision of proctor and reflective model supervision training is able to optimize the quality of nursing care documentation through nursing supervision training in the Inpatient Room of RSIA Bunda Denpasar.
Background: The trend of maternal mortality in recent years has fluctuated. One way to prevent maternal mortality is to increase the use of KIA books. However, the current KIA books are not being used optimally, so many mothers do not have knowledge about KIA books. Objectives: To determine the effect of education on the use of KIA books on the knowledge of pregnant women at the Daleman Community Health Center in Sampang Regency. Methods: This study used a descriptive-quantitative method, with sampling using total sampling. The population of this study consisted of 17 people with a sample of 23 respondents, using a questionnaire instrument with a Wilcoxon test. Results: The Wilcoxon test showed that the pre-test and post-test values obtained a result of 0.000 with a significance of p (<0.05), which means that the education provided significantly increased the knowledge of pregnant women at the Daleman Community Health Center, Sampang Regency. Conclusion: The results of the study indicate that education on the use of the KIA book influences the improvement of knowledge among pregnant women at the Daleman Community Health Center in Sampang District. Therefore, it is recommended that education on the Mother and Child Health Handbook be conducted regularly and continuously by health workers, and developed using attractive and easy-to-understand media in order to increase awareness and optimal use of the KIA book among pregnant women.
Background: Adolescents are a vulnerable group to sexual problems, which can lead to an increase in unwanted pregnancies and early marriages due to a lack of knowledge and appropriate attitudes. Premarital sexual health education serves as an important preventive effort to improve healthy knowledge and attitudes related to sexuality. Purpose: This study aims to examine the effect of premarital sexual health education on the knowledge and attitudes of adolescents at Madrasah Aliyah Putri AL-Khoirot Malang. Methods: This study used a pre-experimental design with a one-group pretest-posttest approach. A total of 67 students were selected using stratified random sampling. The instruments used were knowledge and attitude questionnaires, and the data were analyzed using the Wilcoxon test. Results: The findings revealed a significant increase in knowledge and attitude scores after the educational intervention (p < 0.05). Conclusion: Premarital sexual health education significantly improves adolescents’ knowledge and attitudes toward healthy sexual behavior. Educational institutions are encouraged to integrate comprehensive sexual health education programs to prevent risky sexual behavior among youth.
Background : Anemia is a global health problem that deserves attention, especially in developing countries such as Indonesia . Health education through the Healthy Millennium Card game plays an important role in raising awareness among young women about anemia prevention. Study objective : to determine the influence of health education through the media on healthy millennial card games . on the knowledge of teenage girls about prevention of anemia Methods : The design of this study used a pre-experiment with a pre-test post-test group. The population of this study was 73 female students with a sample of 62 female students using purposive sampling technique according to the inclusion and exclusion criteria . Data collection was carried out through a knowledge questionnaire, then analyzed using the Wilcoxon Test. The results of the study showed that before being given the healthy millennial card game , 37 female students (59.6%) had insufficient knowledge . And after the intervention, more than half of the respondents had good knowledge, namely 41 female students (66.1%) . The results of data analysis obtained a knowledge p value of 0.000 <0.05, then H1 was accepted, meaning that there was an influence of health education through the healthy millennial card game media on the knowledge of teenage girls about anemia prevention . Conclusion : These results indicate that the use of interactive educational media such as Healthy Millennial Card Games can be an effective alternative in health education programs in schools, in order to reduce the prevalence of anemia among adolescents.
Background:The increasing number of malignant cancer patients makes end-of-life care an inseparable element of nursing services. The concept of peaceful end-of-life is very popular , but it is complex and abstract. Understanding the concept of peaceful end-of-life helps professional nurses improve the quality of care outcomes for patients suffering from terminal or life-threatening illnesses. Objective:The researcher's goal was to clarify and clarify the understanding of the concept of peaceful end-of-life in end-stage cancer patients using the approach of Walker and Avant (2005). Methods: This concept analysis was conducted using the eight steps proposed by Walker and Avant. Results:Attributes of peaceful end-of-life in advanced cancer patients include: freedom from pain, a feeling of comfort, acceptance of the disease, and the presence and support of those closest to them. Antecedents, consequences, and empirical referents are explained. Model cases, related cases, threshold cases, and conflicting cases are illustrated to further clarify the concepts. Conclusion: Four attributes are interconnected and play a role in forming a complete state of peace for terminal cancer patients according to Walker & Avant's analytical approach.
Background: Good sleep quality plays an important role in maintaining maternal health during pregnancy and providing sufficient energy for labor. However, physiological changes such as increased uterine size, physical discomfort, and elevated progesterone levels often lead to sleep disturbances in pregnant women, particularly in the third trimester. One effort to improve maternal sleep quality is by increasing comfort through an innovative maternity pillow design equipped with lavender aromatherapy. Purpose: This study aimed to develop a maternity pillow design integrated with lavender aromatherapy as a supportive intervention to improve sleep quality among pregnant women. Methods: This study employed a pre-experimental method using a one-group pre–post test design and a research and development (R&D) approach. The R&D stages included literature review, system and product design, product development and manufacturing, expert validation, system testing, and analysis. Sleep quality was assessed using a structured questionnaire. The research was conducted over a one-year period. Results: The findings showed that maternal self-efficacy increased from 41 before the intervention to 59.8 after the intervention, with a p-value of 0.000 (p≤0.05), indicating a significant influence of the Android-based application intervention “cakoASI.id” on the self-efficacy of breastfeeding mothers. Conclusion: The evaluation results indicated that the Maternity Pillow Design was categorized as very high, effectively improved sleep quality among third-trimester pregnant women, and was feasible and successfully tested in the field
Background: Health education is a crucial component in improving patient adherence to wound care, particularly among individuals recovering from abdominal surgery. Improper wound care can increase the risk of infection and delay the healing process. The integration of digital technology in healthcare provides innovative solutions for patient education. The KMB Digital Education Application serves as a medium to enhance patients’ understanding of postoperative wound management, enabling them to follow care instructions more consistently and achieve faster recovery. Objectives: This study aimed to determine the effect of the KMB Digital Education Application on patient adherence and wound healing among post-abdominal surgery patients at Pemangkat Regional Hospital. Methods: This research employed a quasi-experimental design with a pretest-posttest control group approach. A total of 50 post-abdominal surgery patients were selected using purposive sampling and divided equally into intervention and control groups. The intervention group received education through the KMB Digital Application, while the control group received standard education. Data were collected using observation sheets and analyzed using Repeated Measure ANOVA. Results: The findings revealed a significant improvement in patient adherence within the intervention group, increasing from 31.12 ± 1.20 to 46.44 ± 1.56, compared to the control group, which only rose from 28.68 ± 1.07 to 33.24 ± 0.97 (p < 0.001). Wound healing outcomes also showed significant differences between groups, where the intervention group’s healing scores improved from 42.32 ± 2.19 to 21.84 ± 2.19, while the control group improved from 42.36 ± 1.87 to 36.48 ± 1.16 (p < 0.001). Conclusion:The implementation of the KMB Digital Education Application significantly enhances patient adherence to wound care and accelerates wound healing among post-abdominal surgery patients. The use of digital education technology can therefore be an effective innovation to support postoperative recovery and improve the quality of nursing care.
