Journal Title : Jurnal Mahasiswa Ilmu Kesehatan Initials : jumkes Frequency : Januari, April, Juli dan Oktober. Print ISSN : 2987-2898 Online ISSN : 2987-2901 Editor in Chief : Nastiti Nur Indriyani, S.Si., M.Si DOI: 10.59841 Publisher : STIKes Ibnu Sina Ajibarang Jurnal Mahasiswa Ilmu Kesehatan, dengan e-ISSN : 2987-2901, p-ISSN : 2987-2898 Jurnal Mahasiswa Ilmu Kesehatan STIKes Ibnu Sina AJibarang ini menyajikan hasil penelitian dan tinjauan pustaka sehingga jurnal ini bermanfaat bagi tenaga ahli kesehatan, apoteker, dokter dan perawat, pengambil kebijakan, tenaga kesehatan, dosen serta mahasiswa yang tertarik dengan publikasi ilmiah terkait Ilmu ilmu Farmasi dan Kesehatan. Jurnal ini terbit 1 tahun 4 kali (Januari, April, Juli dan Oktober). Indexed by: Journal Sponsors and Partners : situs slot
Analisis Resistensi Bakteri terhadap Antibiotik pada Pasien dengan Berbagai Golongan Darah
Acinetobacter baumannii is a major pathogenic bacterium causing nosocomial infections, known to exhibit high levels of resistance to various antibiotic classes, including β-lactams and aminoglycosides. This widespread resistance poses a significant challenge in hospital patient management, particularly in cases of severe and difficult-to-treat infections. This study aimed to analyze the resistance patterns of A. baumannii to four types of antibiotics in patients with various blood types at Dr. Soeradji Tirtonegoro General Hospital, Klaten. The research method used was a qualitative approach with a case study design. Data were obtained through in-depth interviews with healthcare workers, analysis of patient medical records, and limited observation of clinical practice. The focus of the study was directed at the relationship between patient blood type and the level of antibiotic resistance of A. baumannii. The results showed variations in resistance patterns based on blood type. Patients with blood type AB showed the highest level of resistance to all tested antibiotics, with a prevalence of multidrug resistance (MDR) reaching 85%. In contrast, patients with blood type O showed the lowest resistance and the highest proportion of non-MDR isolates compared to other groups. These findings indicate the role of host factors, namely blood type, in influencing the level of resistance of A. baumannii. The suspected mechanisms involved include differences in surface antigens that influence bacterial adhesion, biofilm formation, and the host immune response. The practical implication of this study is the need to consider blood type as a factor in empirical antibiotic therapy, especially in cases of nosocomial infections caused by A. baumannii.
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Uji Potensiasi Efek Sedatif – Hipnotik Ekstrak Etanol Biji Pinang (Areca Catechu L) Asal Papua Barat Daya terhadap Mencit Jantan
Sleep is a vital state of rest for humans to maintain a healthy body. After a day of activity, the body requires adequate sleep to recover and regain energy. One common sleep disorder is insomnia, characterized by difficulty sleeping both in terms of quality and quantity. Insomnia has traditionally been treated with sedatives, drugs that reduce anxiety and provide a calming effect with little or no impairment to motor and mental function. However, long-term use of chemical drugs can cause side effects, necessitating alternatives, one of which is the use of traditional medicine. Areca nut (Areca catechu L.) is known to possess antioxidant, antimutagenic, astringent (tightening), and intoxicating properties that have long been used in traditional medicine. This study was conducted experimentally in a laboratory to determine the sedative-hypnotic effects of areca nut ethanol extract. The observed parameter was survival time on the rotarod, and the data were analyzed using one-way ANOVA for homogeneity testing and Shapiro-Wilk for normality testing. If the data were not homogeneous or normal (p < 0.05), the analysis was continued with the nonparametric Kruskal-Wallis and Mann-Whitney tests. The results showed that administration of areca nut ethanol suspension as a positive control with varying doses did not produce significant differences, meaning that all three doses had the same sedative-hypnotic effect. In the treatment groups with areca nut ethanol extract doses of 0.52 mg/kgBW and 0.78 mg/kgBW, significant differences were observed compared to the negative control, indicating a clear sedative-hypnotic effect. Therefore, it can be concluded that areca nut (Areca catechu L.) ethanol extract at doses of 0.52 mg/kgBW and 0.78 mg/kgBW has the potential to provide sedative-hypnotic effects and can therefore be used as an alternative treatment for sleep disorders.
Asuhan Keperawatan Jiwa Pada Tn. R dengan Masalah Utama Gangguan Sensori Persepsi: Halusinasi Pendengaran Akibat Skizofrenia Tak Terinci
Mental health is an important aspect that supports quality of life, including a state of well-being related to happiness, satisfaction, achievement, optimism, and dynamic hope according to life situations (Fitri, 2025; Herlina et al., 2024). Schizophrenia is a severe mental disorder characterized by an inability to communicate, impaired perception of reality (illusions and hallucinations), and loss of self-confidence, included in the category of psychosis (Mardiana et al., 2024). The purpose of writing this scientific paper is to find out and implement psychiatric nursing care for Mr. R, with the main problem of sensory perception disorders: auditory hallucinations due to schizophrenia that are not detailed in the Hudowol Room of Dr. Amino Gondohutomo Mental Hospital, Central Java Province. The method used is a descriptive approach with a case study. The case review results showed that the client heard male and female voices saying negative things and often talked to himself. The problem tree identified sensory perception disorders: auditory hallucinations as the core problem, accompanied by self-care deficits, social isolation, and the risk of violent behavior. Interventions are designed based on implementation strategy guidelines for clients and families, implemented, and evaluated as documented evidence
Pengaruh Aromaterapi Lavender terhadap Tingkat Nyeri Pasien Post Operasi Orif di RSUD Dr. H. Soewondo Kendal
Fractures are conditions of discontinuation of bone or cartilage, either partially or completely, which often require surgical treatment. One of the commonly used procedures is Open Reduction Internal Fixation (ORIF), which is an open surgical procedure with the installation of fixation tools such as pins, screws, and plates to repair broken bones. This procedure generally causes postoperative pain that needs to be treated effectively. Pain management can be done through pharmacological and non-pharmacological approaches. Lavender aromatherapy is one of the non-pharmacological methods that has the potential to provide a relaxing and analgesic effect. This study aims to determine the effect of lavender aromatherapy on the level of pain in patients after ORIF surgery. The research method uses a qualitative approach with a Quasi Experiment design. The sampling technique was carried out in total sampling with a total of 28 respondents post-operative ORIF patients at Dr. H. Soewondo Kendal Hospital. The data were analyzed using the Wilcoxon test to determine the difference in pain levels before and after the administration of aromatherapy. The results showed a p value of 0.000, which indicated a significant influence between the administration of lavender aromatherapy on the reduction of the patient's pain level. The conclusion of this study is that lavender aromatherapy is effective in reducing the intensity of postoperative pain of ORIF, so that it can be used as an alternative to nonpharmacological therapy in postoperative pain management. This study recommends the integration of aromatherapy in nursing practice to improve patient comfort.
Hubungan Antara Dukungan Sosial dengan Motivasi untuk Sembuh pada Pasien Kanker Payudara (Carcinoma Mammae) di RSI Sultan Agung Semarang
The family has an important role in the treatment process of cancer patients, especially in providing motivation during treatment. Social support from families has a great influence on the psychological condition of breast cancer patients undergoing chemotherapy. As the health workers who interact most intensely with patients, nurses play a role in empowering families through education and counseling to improve the quality of support provided. This study aims to analyze the relationship between social support and motivation to recover in breast cancer patients at RSI Sultan Agung Semarang. The study used a correlational descriptive design with a cross-sectional approach. The sample consisted of 77 respondents who were selected using purposive sampling techniques based on certain inclusion criteria. Data collection was carried out through a structured questionnaire, and statistical analysis was carried out using the Pearson correlation test. The results showed a significant relationship between social support and motivation to recover, with a correlation value of 0.478 and a p-value of 0.000 (p < 0.05). These findings suggest that the higher the level of social support patients receive, the greater their motivation to recover. The conclusion of this study is that social support has a positive contribution to increasing the healing motivation of breast cancer patients. Therefore, nursing interventions that actively involve families need to be improved as part of a holistic approach to the care of cancer patients.
Pengaruh Terapi Hipnosis 5 Jari terhadap Penurunan Nyeri pada Pasien Apendicitis RSI Sultan Agung Semarang
Appendicitis is an inflammatory condition of the small intestinal tract that is about 4 inches in size and located at the end of the secum. This condition often causes significant pain and requires effective management. In addition to pharmacological approaches, non-pharmacological methods such as relaxation techniques and alternative therapies are beginning to be widely applied to reduce pain and anxiety. One promising method is 5-finger hypnosis therapy, which is a relaxation technique that harnesses the power of the mind to achieve calmness and reduce the perception of pain. This study aims to determine the effect of 5-finger hypnosis therapy on pain reduction in appendicitis patients at RSI Sultan Agung Semarang. The research design used was quasi-experimental with a pre-posttest one group approach. A total of 32 appendicitis patients were selected as samples using the total sampling technique. Pain scales were measured before and after the intervention, then analyzed using the Wilcoxon Signed Ranks Test. The results showed a Z-value of -3.097 and a p-value of 0.002 (p < 0.05), indicating a significant difference between pain levels before and after therapy. These findings prove that 5-finger hypnosis therapy is effective in reducing pain in appendicitis patients. This study recommends the application of 5-finger hypnosis therapy as a non-pharmacological approach that can support patient comfort and accelerate the recovery process holistically.
Hubungan Kualitas Tidur dengan Kesehatan Mental pada Perawat di RS Sari Asih Cipondoh
The nursing profession is a shift-based profession. Night shifts can impact sleep quality, which in turn disrupts sleep quality. Seven factors influence sleep quality, most commonly experienced by nurses. Poor sleep negatively impacts mental health. This study aims to explore the relationship between sleep quality and mental health among nurses at Sari Asih Cipondoh Hospital. This study was quantitative with a cross-sectional approach. Sampling was conducted using probability sampling and simple random sampling, with a total of 111 respondents. Univariate and bivariate analyses were performed using the Chi-Square Test, with a significance level of p<0.05. Respondent characteristics indicate that the majority were women aged 25 to 35, working in inpatient units with less than five years of work experience. Most nurses at Sari Asih Cipondoh Hospital reported poor sleep quality. The mental health of nurses at Sari Asih Cipondoh Hospital was within the normal range. There is a relationship between sleep quality and mental health of nurses at Sari Asih Cipondoh Hospital using the Chi Square Test, a P value of 0.000 (<0.05) was obtained. There is a relationship between sleep quality and mental health of nurses at Sari Asih Cipondoh Hospital using the Chi Square Test, a P value of 0.000 (<0.05). Therefore, this study can provide suggestions for nurses to be able to implement sleep pattern strategies so that sleep quality is in the good category.
Hubungan Tingkat Pengetahuan dengan Kepatuhan Minum Obat pada Lansia Penderita Hipertensi di Rumah Sakit Sari Asih Tangerang
Hypertension is a chronic condition with a high prevalence among the elderly population and is often overlooked despite its potential to cause severe complications, including cardiovascular disease, stroke, and kidney damage. Effective management of hypertension requires not only pharmacological treatment but also patient adherence to prescribed therapies, which is closely linked to their knowledge and understanding of the disease. This study aims to analyze the relationship between knowledge levels and medication adherence among elderly hypertension patients at Sari Asih Hospital in Tangerang. A quantitative approach with a cross-sectional design was employed, and a total of 80 respondents were selected using non-probability sampling techniques. Data were collected using structured questionnaires that assessed both knowledge about hypertension and adherence to medication regimens. Statistical analysis was conducted using Kendall’s tau correlation, which revealed a strong and significant relationship between knowledge and medication adherence (τ = 0.759, p = 0.000). These findings indicate that elderly patients with higher levels of knowledge about hypertension are more likely to adhere to their medication schedules consistently, thereby reducing the risk of complications. The results underscore the importance of continuous health education and counseling for elderly patients to strengthen their awareness and self-management skills. In conclusion, increasing knowledge through targeted health promotion programs can play a vital role in improving adherence to hypertension treatment and ultimately enhancing patient outcomes.
Hubungan Pengetahuan dan Sikap Perawat terhadap Pelaksanaan Keselamatan Pasien di RSU Baitul Hikmah Kendal
Patient safety is a critical component of healthcare services, particularly as it directly impacts patient outcomes and the quality of hospital care. Nurses, as the frontline health professionals, play an essential role in implementing patient safety standards. This study aimed to analyze the relationship between nurses’ knowledge and attitudes toward the implementation of patient safety at Baitul Hikmah General Hospital Kendal. A descriptive correlational design with a cross-sectional approach was employed. The study recruited 78 nurses using a total sampling technique, and data were collected through questionnaires that had been previously tested for validity and reliability. The results indicated that the majority of nurses demonstrated good levels of knowledge and attitudes, which were reflected in their adherence to patient safety practices. Bivariate analysis using the Spearman Rho test revealed a significant relationship between nurses’ knowledge (p-value = 0.008; r = 1.000) and attitudes (p-value = 0.008; r = 0.297) with the implementation of patient safety. These findings suggest that better knowledge and positive attitudes among nurses significantly contribute to the proper implementation of patient safety protocols. Consequently, continuous education, training, and awareness programs are necessary to strengthen nurses’ knowledge and attitudes, thereby improving the quality of healthcare services and minimizing risks to patient safety in hospital settings.
Hubungan Self Care dengan Kadar Glukosa Darah pada Pasien Diabetes Mellitus di Puskesmas Kedungwuni 1
Background: Diabetes mellitus (DM) is a chronic disease and a global health problem with an increasing prevalence that often leads to serious complications if not well controlled. Optimal self-care behavior, including diet regulation, physical activity, blood glucose monitoring, and adherence to medication, plays a crucial role in maintaining stable blood glucose levels and improving quality of life. Objective: This study aims to investigate the relationship between self-care behavior and blood glucose levels among individuals diagnosed with diabetes mellitus who are receiving treatment at Kedungwuni 1 Public Health Center. Methods: This research employed an observational analytical design with a cross-sectional approach. A total of 109 respondents diagnosed with DM were selected through total sampling. Data on self-care behavior were collected using the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire, while blood glucose levels were measured using a glucometer. Data were analyzed using the Spearman correlation test with a significance level of α = 0.05. Results: The findings showed that most respondents demonstrated poor self-care behavior (72.5%) and almost half were within the diabetes range of blood glucose levels (49.5%). Bivariate analysis revealed a significant positive correlation between self-care behavior and blood glucose levels (p = 0.000; r = 0.547). Conclusion: Better self-care behavior is associated with better blood glucose control. These results emphasize the importance of strengthening health education and self-management programs to improve self-care practices in diabetic patients.
Hubungan Beban Kerja Fisik dan Mental Perawat dengan Patient Safety di RSU Baitul Hikmah Kendal
This study examines the relationship between nurses’ physical and mental workload and the implementation of patient safety at Baitul Hikmah General Hospital Kendal in 2025. Patient safety is a critical component of healthcare quality, and nurses, as the front-line providers, are directly involved in ensuring that safety standards are consistently maintained. However, high job demands often contribute to both physical and mental workload, which may affect compliance with patient safety practices. The research employed an analytical survey design with a cross-sectional approach, involving a total of 55 nurses from the emergency and inpatient units, selected using a total sampling technique. Data were collected through structured questionnaires assessing physical workload, mental workload, and adherence to patient safety procedures. Descriptive results showed that most respondents were in their productive age group, held a Diploma in Nursing, and had more than five years of clinical experience. The inferential analysis revealed a significant relationship between physical workload and patient safety (p-value = 0.023), whereas no significant relationship was found between mental workload and patient safety (p-value = 0.089). These findings suggest that while physical workload has a measurable impact on the implementation of patient safety, non-physical factors such as emotional maturity, professional responsibility, and coping strategies may play a more crucial role in ensuring safe and effective patient care. The study highlights the need for hospital management to address workload distribution and strengthen supportive measures that enhance nurses’ resilience and adherence to patient safety standards.
Hubungan antara Dukungan Keluarga dengan Kepatuhan Minum Obat pada Pasien Hipertensi
Hypertension is a chronic disease that requires long-term treatment. However, in reality, many patients remain non-adherent to their prescribed therapy. Non-adherence can lead to serious complications such as stroke, kidney failure, or heart disease. One of the crucial factors that can improve treatment adherence is family support. This support may include attention, supervision, motivation, and practical assistance such as reminding patients of their medication schedules. The aim of this study was to examine the relationship between family support and medication adherence among hypertensive patients at the Internal Medicine Specialist Polyclinic of RSSA Sangiang. This study employed a quantitative correlational design with a cross-sectional approach. A total of 189 respondents were recruited using consecutive sampling. The research instruments consisted of a family support questionnaire and the Morisky Medication Adherence Scale (MMAS-8) to assess adherence. Data were analyzed using the Spearman Rank test to determine the relationship between the two variables. The results showed that most respondents received family support at a moderate level (55.0%). Meanwhile, medication adherence among hypertensive patients was categorized as moderate in 49.2% of respondents. The Spearman test revealed a highly significant relationship between family support and medication adherence, with p=0.000 and a correlation coefficient r=0.832. In conclusion, family support plays a vital role in improving medication adherence among hypertensive patients. Therefore, healthcare providers are encouraged to involve families in the treatment process and provide continuous education to ensure adherence and prevent complications.
Pengaruh Tindakan Alih Baring terhadap Nilai Saturasi Oksigen dan Heartrate Pasien Neonatus di Ruang Peristi RSI Sultan Agung Semarang
Monitoring hemodynamic conditions, particularly oxygen saturation (SpO₂) and heart rate, is a crucial aspect of neonatal care, especially in critical conditions. In addition to therapeutic interventions, supportive measures such as repositioning (postural change) can help optimize ventilation distribution and lung function, which directly affect hemodynamic stability. This study aimed to examine the effect of repositioning on oxygen saturation and heart rate levels in neonates in the Peristi Room at RSI Sultan Agung Semarang. This research employed a one-group pretest-posttest design with 27 neonatal respondents. The procedure involved alternating the neonates’ positions to supine, right lateral, and left lateral for two hours in each position, followed by measurement of SpO₂ and heart rate before and after repositioning. Data analysis was conducted using the Wilcoxon signed-rank test, as some data were not normally distributed. The results showed a significant difference in heart rate after the right lateral position (p=0.027), while the change in SpO₂ was not significant (p=0.125). The left lateral and supine positions showed no significant changes in either heart rate or SpO₂ (p>0.05). It can be concluded that repositioning, particularly in the right lateral position, positively influences hemodynamic stability in neonates. Future studies are recommended to include a larger sample size for more comprehensive findings.
Faktor-Faktor yang Mempengaruhi Phlebitis pada Anak di RSUI Harapan Anda Kota Tegal
Phlebitis is one of the most common complications that occur as a result of intravenous infusion, especially in pediatric patients. This condition is characterized by inflammation of the vein wall, which can cause pain, redness, and swelling around the puncture site. The high incidence of phlebitis in children requires serious attention because it can prolong hospitalization, increase healthcare costs, and reduce the overall quality of care. This study aimed to identify the factors associated with the occurrence of phlebitis in pediatric patients at RSUI Harapan Anda, Tegal City. This research employed a correlational analytic design with a cross-sectional approach. The sample consisted of 46 pediatric patients undergoing intravenous therapy in the inpatient ward, selected using purposive sampling. The research instrument was an observation sheet that included independent variables such as age, chronic illness, duration of infusion, infusion site, type of infusion fluid, and nurses’ skills. The dependent variable was the incidence of phlebitis. Data were analyzed using the chi-square test to determine the relationships between variables. The results showed that most patients were in the toddler age group (1–3 years), had chronic illnesses, underwent infusion for more than 72 hours, had high-risk puncture sites, used hypotonic fluids, and were treated by nurses with insufficient skills. Statistical analysis revealed significant associations between all independent variables and the occurrence of phlebitis. These findings highlight the importance of improving nurses’ competence through continuous training, strict monitoring of infusion duration and fluid type, as well as special attention to high-risk pediatric patients. Such efforts are expected to reduce the incidence of phlebitis and improve the quality of nursing care in hospitals.
Hubungan antara Kepatuhan Cuci Tangan terhadap Kasus Diare di Ruang Anak
Diarrhea remains a major public health problem among children in Indonesia, with a high prevalence that impacts morbidity, mortality, and child development. One of the key risk factors is non-compliance with hygiene practices, particularly handwashing behavior. This study aimed to determine the relationship between handwashing compliance and diarrhea cases among children treated in the Pediatric Ward of Dahlia, RSUD Dr. H. Soewondo Kendal. The research employed a quantitative analytic method with a cross-sectional design, involving a total sampling of 39 child respondents aged 5–10 years who met the inclusion criteria. Data were collected using a handwashing compliance questionnaire and a diarrhea incidence questionnaire, and analyzed using Spearman’s Rank Correlation test. The results showed that most respondents were in the moderately compliant (53.8%) and compliant (43.6%) categories for handwashing, while the incidence of diarrhea remained relatively high at 51.3%. Bivariate analysis indicated a significant negative relationship between handwashing compliance and diarrhea cases (ρ = -0.538; p = 0.000), meaning that the higher the level of handwashing compliance, the lower the incidence of diarrhea. In conclusion, handwashing compliance is an important protective factor in reducing the risk of diarrhea among children. These findings emphasize the need for continuous education for children and parents regarding proper handwashing practices, as well as the integration of Clean and Healthy Living Behavior (PHBS) promotion into healthcare and educational services to prevent diarrhea from an early age
Penerapan Teknik Tripod Position dan Pursed Lip Breathing terhadap Kenaikan Saturasi Oksigen pada Pasien Sesak di IGD RSUD Limpung
Shortness of breath is one of the main problems experienced by patients with respiratory disorders such as chronic obstructive pulmonary disease (COPD), asthma, pulmonary tuberculosis, and lung cancer. This condition can reduce oxygen saturation, which leads to limitations in physical activity, decreased quality of life, and an increased risk of hypoxemia that may become fatal if not immediately addressed. The management of dyspnea is not only carried out through pharmacological therapy but also through non-pharmacological interventions that are simple, safe, and easy to apply by health care providers. One such intervention is the tripod position and pursed-lip breathing technique. The tripod position is a sitting posture in which the patient leans forward with both hands supporting the body on the knees or a table, thereby facilitating maximum chest expansion. Meanwhile, pursed-lip breathing is a breathing technique performed by inhaling through the nose and exhaling slowly through pursed lips, which prolongs the expiratory phase, reduces trapped air, and improves alveolar ventilation. This study aimed to determine the effectiveness of applying these two techniques in increasing oxygen saturation among patients with dyspnea in the Emergency Department of RSUD Limpung. The research design was a case study involving four patients diagnosed with COPD, asthma, pulmonary tuberculosis, and lung cancer. The intervention was carried out by assisting patients to sit in a tripod position and training them in pursed-lip breathing for approximately 10 minutes. Oxygen saturation was measured using a pulse oximeter before and after the intervention. The results showed an increase in oxygen saturation in all patients, from 92–97% to 95–99% after the intervention. In conclusion, tripod position and pursed-lip breathing proved to be effective non-pharmacological therapies that can be recommended in emergency nursing practice to reduce dyspnea and improve oxygenation.
Hubungan Tingkat Pengetahuan Perawat dengan Stigma Perawat terhadap ODHA (Orang dengan HIV/AIDS)
The knowledge and acceptance of nurses toward patients with HIV/AIDS (PLHIV) play a crucial role in improving the quality of nursing care. A lack of knowledge and insufficient understanding can lead to poor care quality and health outcomes for PLHIV patients. This study aims to analyze the relationship between nurses' knowledge level and stigma toward PLHIV. This study used a correlational analytic design with a cross-sectional approach, where data were collected from 63 respondents, consisting of nurses working in hospitals, specifically in the PLHIV wards. Data were analyzed using the Chi-Square test to examine the relationship between the variables of nurses' knowledge and stigma toward PLHIV. The results showed that 63.5% of nurses had adequate knowledge about HIV/AIDS, while 14.3% had insufficient knowledge. The majority of nurses working in PLHIV wards demonstrated sufficient understanding, which could potentially influence their acceptance attitude toward patients. Statistical analysis revealed a significant relationship between nurses' knowledge level and stigma toward PLHIV (p < 0.05). This highlights the importance of improving nurses' competence through continuous training and education to reduce stigma and enhance professionalism in providing care to PLHIV patients. This study is expected to serve as a basis for the development of educational and training programs for nurses to improve their understanding of HIV/AIDS and minimize stigma toward PLHIV.
Pengaruh Pemberian Terapi Cairan Oral terhadap Suhu Tubuh pada Pasien Anak dengan Febris Akibat DHF
Dengue Hemorrhagic Fever (DHF) is an endemic disease that can cause serious complications due to dehydration and plasma leakage, affecting the body temperature of patients. This study aims to examine the effect of oral fluid therapy on body temperature in pediatric patients with febrile DHF at RSU Comal Baru Pemalang. This study used a quasi-experimental design with a pretest-posttest and control group, involving 30 respondents (15 intervention and 15 control) selected through consecutive sampling based on inclusion and exclusion criteria. Body temperature data were measured using a thermometer before and after the oral fluid therapy, then analyzed using the Wilcoxon Signed Rank Test, Paired t-test, Independent t-test, and Mann-Whitney U Test with a significance level of p<0.05. The results showed that the initial body temperature of both groups was comparable (38.08°C in the intervention group and 38.13°C in the control group; p=0.739). After oral fluid therapy, the body temperature of the intervention group significantly decreased to 36.39°C, while the control group only decreased to 37.56°C, with statistical tests showing a significant difference (p<0.001). This study concludes that oral fluid therapy is effective in reducing body temperature in pediatric patients with DHF and can be recommended as part of supportive nursing management.
Hubungan Pengetahuan dan Sikap dengan Prilaku Pencegahan Penyakit Malaria
Malaria is an infectious disease caused by various species of Plasmodium, such as Plasmodium vivax, Plasmodium falciparum, Plasmodium malariae, and Plasmodium ovale, which are transmitted through the bite of Anopheles mosquitoes. The spread of this disease is highly influenced by the presence of mosquito breeding sites as vectors of transmission. This study aims to analyze the relationship between the knowledge and attitudes of outpatients toward malaria prevention behaviors at the ASA Enterop Clinic in Jayapura. The study design used a descriptive analytical method with a cross-sectional approach. The research instrument was a questionnaire, and data analysis involved both univariate and bivariate analysis, as well as Chi-square statistical testing. The results showed that 57 respondents (54.0%) had good knowledge with good prevention behavior, and 5 respondents (8.0%) had moderate knowledge with good prevention behavior. Meanwhile, 1 respondent (4.4%) had good knowledge but poor prevention behavior, and 5 respondents (5.0%) had moderate knowledge with poor prevention behavior. The conclusion of this study indicates a significant relationship between knowledge and attitudes with malaria prevention behavior in the research area. These findings highlight the importance of improving public knowledge and attitudes in preventing malaria and suggest that strengthening health education and awareness is crucial for disease prevention.
Membuka Kompleksitas Kesehatan: Kajian Komprehensif Penerapan Systems Thinking dalam Organisasi Kesehatan Modern : Literature Review
This study examines the application of systems thinking in modern healthcare organizations, with a particular focus on Peter Senge’s Fifth Discipline. Using a systematic literature review of 20 selected articles, the study investigates the potential and challenges of applying systems thinking across key areas such as patient safety, service integration, resource management, and innovation. Findings indicate that systems thinking provides a holistic framework to better understand and address the inherent complexity of healthcare systems. By fostering interconnections among organizational components, it enhances the capacity to improve performance, ensure patient-centered care, and support sustainable change. Nevertheless, implementation is hindered by obstacles such as resistance to change, lack of shared understanding, and difficulties in measuring systemic outcomes. To address these barriers, the study highlights strategies including leadership development, staff training, and the establishment of appropriate evaluation tools. These measures strengthen organizational readiness and support a culture of continuous learning. The study concludes that systems thinking offers valuable insights for healthcare organizations to adapt to evolving challenges, but its success requires long-term commitment, supportive leadership, and systematic implementation. Future research should further explore the integration of systems thinking with emerging digital health technologies and assess its long-term impact on health outcomes and organizational resilience.
Asuhan Keperawatan pada Ny. T Keluarga Tn. H dengan Gangguan Sistem Kardiovaskuler : Hipertensi di Desa Purwodadi RT 02 RW 01 Kecamatan Tonjong Kabupaten Brebes
Non-communicable diseases (NCDs) are a major challenge in today's health development. One category of these diseases is hypertension, which is classified as a chronic disease with a relatively high mortality rate. Hypertension serves as a major predictor for various chronic diseases and is a common disease found in the community (Putri et al., 2025). If not managed properly, hypertension can lead to more serious complications such as stroke, coronary heart disease, diabetes, kidney failure, and blindness. Stroke (51%) and coronary heart disease (45%) are the leading causes of death related to hypertension (Pokhrel, 2024). The increasing prevalence of hypertension along with changes in lifestyle and unhealthy eating patterns adds to the global health burden. Therefore, effective management of hypertension is essential to prevent further complications. Appropriate hypertension management and regular monitoring can reduce the risk of related diseases, improve quality of life, and reduce mortality caused by complications of heart disease and stroke. Preventive and promotive efforts through health education are key to reducing the prevalence of hypertension in the community.