Background: Puberty involves physical and psychological changes that may affect menstrual regularity. Polymenorrhea, defined as menstrual cycles shorter than 21 days, may be associated with nutritional status and stress. Hormonal imbalance may contribute to this condition, while nutritional and psychological factors warrant attention when examining menstrual health during adolescence, particularly in local community settings. Objective: This study aimed to examine the associations of nutritional status and stress levels with polymenorrhea among adolescent girls. Methods: The study was conducted in 2025 among adolescent girls belonging to Karang Taruna youth organizations in Semarang City, Indonesia. Of 150 girls assessed for eligibility, 135 met the criteria and agreed to participate; 125 with complete data were included in the final analysis.Nutritional status was assessed using BMI-for-age derived from anthropometric measurements. Stress was assessed using the seven-item stress subscale of the DASS-21. Menstrual cycle length and history of polymenorrhea were assessed through structured interviews. Data were analyzed using chi-square tests and multivariable logistic regression. Results: Obesity was significantly associated with higher odds of polymenorrhea compared with normal nutritional status (aOR = 3.45; 95% CI: 1.47–8.15; p = 0.004). High stress levels were also significantly associated with higher odds compared with low stress levels (aOR = 5.12; 95% CI: 2.07–12.65; p < 0.001). Age, age at menarche, and physical activity were not significantly associated with polymenorrhea. Conclusion: Obesity and high stress levels were significantly associated with polymenorrhea among adolescent girls. These findings support the consideration of nutrition education emphasizing a balanced diet and stress-management strategies in adolescent menstrual health programs.
Background: Blood pressure measurements are performed periodically depending on the patient's condition. This can cause discomfort and even injury. Objective: The purpose of this study was to develop a preventive dressing tool used in continuous blood pressure measurement with a bedside monitor to prevent MDRPI in critically ill patients. Methods: The research method was Research and Development with 3 stages. The first stage was observation, interviews, literature studies, and FGDs with 8 critically ill nurses, one electromedical staff member and one facilities staff member. The second stage was a validity and usability test using 3 experts (intensivist, intensive care cardiologist, dermatologist) and 30 healthy respondents. The third stage was a quasi-experimental pretest-posttest design with a control group with 120 patients (60 in the intervention group, 60 in the control group) using consecutive allocation, sampling was conducted sequentially across the control and intervention groups. Data analysis used chi-square, fisher, kolmogorov-smirnov. Statistical significance was set at α = 0.05. Results: The developed dressing achieved a Content Validity Index (CVI) of 0.90 and a System Usability Scale (SUS) score of 83.08. The intervention significantly improved patient comfort and reduced pain (p = 0.043), but its effect on redness was not statistically significant (p = 0.122). No allergic reactions were observed in either group. Conclusion: The developed preventive dressing demonstrated good validity and usability and significantly improved patient comfort while reducing pain. Further evaluation is needed before its application in pediatric patients.
Background: Diabetes-related foot ulcer (DRFU) is a serious complication of diabetes mellitus associated with delayed wound healing. Therapeutic ultrasound may provide additional benefits alongside standard wound care and controlled dietary management. Objective: This study aimed to examine the effectiveness of adjunctive therapeutic ultrasound in reducing wound surface area in patients with DRFU. Methods: This quasi-experimental, non-randomized pre-test–post-test controlled study was conducted at Kartasura Primary Health Care Center from February to May 2026. Using purposive sampling, 25 patients aged 30–65 years with Wagner grade 1–2 diabetes-related foot ulcers (DRFU) were enrolled and allocated to an ultrasound group (n = 13) or a control group (n = 12). The intervention lasted four weeks. Wound surface area was measured at baseline and post-intervention using manual planimetry by an independent, blinded assessor. Baseline-adjusted analysis of covariance (ANCOVA) was used for the primary between-group comparison. Results: Both groups showed significant reductions in wound surface area (p < 0.0001). ANCOVA showed a significantly lower adjusted post-intervention wound area in the ultrasound group than in the control group (5.619 vs. 6.355 cm²; mean difference = 0.736 cm²; p = 0.015; partial η² = 0.240). However, the unadjusted between-group difference in wound area reduction was not significant (2.12 vs. 1.37 cm²; p = 0.159). Conclusion: Adjunctive therapeutic ultrasound was associated with a lower adjusted post-intervention wound area. However, the non-significant unadjusted comparison and the study's non-randomized design and small sample warrant cautious interpretation.
Background: Depression among the elderly often goes undetected, despite a national prevalence of 11.6%, rising to 20% in community settings. Brain gym and gamelan music have been studied separately to reduce anxiety, stress, and depression in older adults; this study explores their combination as a culture-based complementary nursing intervention. Objective: To evaluate the effectiveness of a culture-based complementary intervention in reducing depression among the elderly, thereby contributing to improved community mental health. Methods: A quasi-experimental design with a control group and pre-test/post-test assessments was used. A total of 186 elderly participants, recruited via purposive sampling, were assigned to intervention (n = 93) or control (n = 93) groups. The intervention group received twenty therapy sessions, while the control group received no intervention. Data were analyzed using paired and independent samples t-tests, with significance set at p < 0.05. Results: Mean GDS-15 scores decreased from 9.12 ± 2.562 to 6.06 ± 2.892 in the intervention group (p < 0.001; Cohen's d = 1.99) and from 8.66 ± 2.684 to 8.22 ± 3.103 in the control group (p = 0.004; Cohen's d = 0.31). The score reduction was significantly greater in the intervention group than in the control group (−3.054 ± 1.535 vs. −0.441 ± 1.425; mean difference = 2.61; t(184) = −12.030; p < 0.001; Cohen's d = 1.76). Conclusion: A combination of brain gym and Balinese gamelan is effective in reducing depression among the elderly and has potential as a culture-based nursing approach.
Background: Cervical cancer represents a critical global public health concern. According to the latest data from the WHO (Globocan 2024), cervical cancer ranks fourth among the most frequently diagnosed cancers in women worldwide, with an estimated 660,000 new cases and 350,000 deaths annually. The vast majority of these deaths (approximately 90%) occur in low- and middle-income countries, including Indonesia, where access to screening and early treatment remains severely limited. Cervical cancer caused by Human Papillomavirus (HPV) types 16 and 18 is the second leading cause of cancer-related mortality among women in Indonesia. Despite the IVA Test being a crucial strategy in reducing morbidity and mortality rates, national screening coverage in 2023 reached only 7.02% of the 70% target. Objective: This study aimed to analyze the association between knowledge level, attitude, and spousal support among Women of Reproductive Age (WRA) and their low participation in IVA Test screening at Clinic X in 2025. Methods: This study employed a observational analytic study with a cross-sectional design. The study population comprised all women of reproductive age between 15–50 years, with a sample of 88 respondents selected through simple random sampling. Results: The findings revealed that respondents' attitudes had a significant relationship on IVA Test screening participation (p = 0.01 < α = 0.05). In contrast, neither knowledge level (p = 0.982 > α = 0.05) nor spousal support (p = 0.152 > α = 0.05) demonstrated a statistically significant effect on IVA Test participation. Conclusion: Among the variables examined, the attitude of women of reproductive age emerged as relationship the low coverage of IVA Test screening. Knowledge level and spousal support did not yield statistically significant impacts in this study.
