Proceeding Strada International Conference on Health
Institut Ilmu Kesehatan STRADA Indonesia
Effect Application Bundle Vap and Installation Normal 0.9% on the Ventilator Associated Events Incidence in Icu RSUD Mardi Waluyo Hospital Blitar City
Ventilator-Associated Events (VAE) is serious complications that often occur in patients with mechanical ventilation in Intensive Treatment Unit. VAE includes ventilator-associated condition (VAC), infection-related ventilator-associated complications (IVAC), and Possible Ventilator-Associated Pneumonia (PVAP), which can increase morbidity, mortality, length of treatment, and maintenance costs. VAE prevention efforts are focused on applying the ventilator maintenance bundles and additional interventions, normal saline 0.9% installation. This study aims to analyze effect VAP bundle application and normal saline 0.9% installation to VAE incidence in ICU RSUD Mardi Waluyo Blitar. Research method uses the quasi-experimental design with pretest-posttest with control group design. Research sample consists patients who use mechanical ventilator according to inclusion criteria, divided into control and intervention groups. Bundle VAP implemetation to VAC insidence (P= 0,317) and IVAC insidence (p = 0,083), normal salin instalation VAC (p = 0,083) and IVAC insidence (p = 0,001), result ordinal regression. p-value 0,002 for Bundle VAP implemetation and p = 0,121 for normal salin installation. Regression analysis shows that Bundle VAP is protective factor for VAE incidence, while saline installation has additional effect strengthens prevention. Conclusion this research confirms importance implementation VAP Bundle consistently as main strategy preventing VAE in ICU. Normal saline installation can considered additional and easily applied additional intervention. Clinical implications study are need strengthen hospital policy implementation VAP bundle and socialization use normal saline as part patient care protocol with mechanical ventilation.
normal saline 0,9% installation intensive care unit
Copyright (c) 2025 Proceeding Strada International Conference on Health
Analysis of the Role of Parents on Children's Physical Growth of 4-5 Years at Dharma Wanita Tosaren II Kediri City
Physical growth of children is influenced by several factors including hereditary (ethnicity, race, and sex), nutrition, culture, environment, social and economic status, climate, sports, health, and hormonal factors including the role of parents in meeting nutritional needs. The purpose of the study was to determine the effect of the role of parents on the physical growth of children aged 4-5 years in the Kindergarten Dharma Wanita Tosaren II in Kediri. Correlational analytic research design with cross sectional approach. The population of all parents who deliver children aged 4-5 years in Kindergarten Dharma Wanita Tosaren II Kediri with a sample of 70 respondents was taken with a total sampling technique. The independent variables of the role of parents and the bounding of the physical growth of children were collected by questionnaires and observation sheets. Data were analyzed by Spearman Correlation test. It is known that almost half of the respondents have sufficient roles for parents, as many as 33 respondents (47.1%), half respondents have weight with appropriate categories, 35 respondents (50%), almost half respondents have height with appropriate categories, 28 respondents (46,7%), almost half of respondents had head circumference with appropriate categories, namely 30 respondents (42.9%), almost half of respondents had upper arm circumference with less categories, namely 32 respondents (45.7%), almost half of respondents had chest circumference with less categories namely 29 respondents (41.4%) out of a total of 70 respondents. It was concluded that parents were very influential on children's physical growth. It is recommended that parents add knowledge about the need to provide food and drink for optimal growth of children.
Vertebral Examination Techniques for Clinical Scoliosis in the Radiology Department of Muhammadiyah Ahmad Dahlan Hospital Kediri City
The vertebral column is the main pillar of the body's bones that supports the head, upper extremities, and chest cavity. The vertebral column is divided into five regions, including the cervical vertebral column, thoracic vertebral column, lumbar vertebral column, sacral vertebral column, and coccygeal vertebral column (Budidarmawan, 2020). One of the abnormalities or pathologies in the thoracolumbar vertebral column is caused by congenital factors. The pathology that can arise is scoliosis. Scoliosis is a deformity of the spine to the lateral side that is excessive in the vertebra. Scoliosis is often experienced by children aged 10-14 years, especially girls. The purpose of this study was to determine the technique of examining the Thoracolumbar Vertebrae with clinical scoliosis in the Radiology Installation of Muhammadiyah Ahmad Dahlan Hospital, Kediri City. This study used a descriptive method with a case study approach. The study was conducted from January 15, 2024, to February 10, 2024, at Muhammadiyah Ahmad Dahlan Hospital, Kediri City. The results showed that scoliosis examinations at Muhammadiyah Ahmad Dahlan Hospital, Kediri City were performed with PA, lateral, right bending, and left bending projections, using a Computed Radiography (CR) machine, with a 35 x 43 cm cassette, marker, 100 cm FFD, horizontal central ray perpendicular to the cassette, and no special preparation. The conclusion of this study is that the projections used in scoliosis examinations at Muhammadiyah Ahmad Dahlan Hospital, Kediri City use 4 projections because they can clearly show the anatomy of the vertebrae to establish a diagnosis and can reduce the occurrence of magnification, and without special preparation. Patients are only asked to remove objects that can interfere with the results of the radiograph image to anticipate the presence of artifacts in the x-ray results.
Hospital Responsibility for Radiation Leaks in Radiology Rooms
Radiological examination is currently widely used to diagnose disease especially in hospitals. But radiation is also very dangerous for patients if the exposure dose exceeds the dose threshold. This can happen if the x-ray device has a radiation leak. The government has made law number 10 of 1997 concerning nuclear power. This research was compiled using a type of normative juridical research, namely research focused on examining the application of rules or in positive law. The purpose of this study wa to analize the legal protection of hospital patients against radiation leaks and analyzing legal consequences borne by the hospital due to radiation leakage in the X-ray room. This research is intended to provided information to readers about the legal basis and responsibilities of hospital for radiation leakage in the X-ray room. For policy makers to be able to provide stricter regulations monitoring X-ray equipment in health service installations and follow up on all violations related to radiation leakage, and hospitals are expected be more orderly in the provisions and maintenance of X-ray unit used in health services considering danger from radiation leakage.
The Effect of Bed Head Elevation in Preventing Ventilator-Associated Pnemonia (VAP) in Patients on Ventilation
Ventilator Associated Pneumonia (VAP) is a common nosocomial infection in patients using ventilators. One recommended prevention method is head elevation of bed (HoB) at a 30-45 degree angle. The purpose of this study was to analyze the effect of head elevation on VAP prevention in patients on ventilators in the ICU of Dr. Iskak Tulungagung Regional Hospital. This study used a pre-experimental design. The sample consisted of 20 patients selected by consecutive sampling. Data were collected through Clinical Pulmonary Infection (CPIS) observations before and after the intervention for three days. The results showed that of the 20 patients who received the HoB intervention, 75% did not experience VAP, while 25% continued to experience VAP. The CPIS value increased significantly on the second and third days, indicating that this period is a critical phase for VAP development. Elevating the HoB position has an effect on reducing the risk of VAP, but does not completely prevent infection. Effective VAP prevention requires a comprehensive approach that combines HoB with other measures such as oral hygiene, endotracheal cuff pressure monitoring, and optimal ventilation management.
Comparison of Tik Tok Media Education and Power Point Media on the Use of Social Media on Adolescent Mental Health in the Digital Era Nursing Department
The increasing use of digital technology has transformed social media into a primary source of information for adolescents. TikTok, with its dynamic and engaging features, is highly popular among teenagers, while PowerPoint provides a more structured approach to learning. Comparing these two media is important to evaluate their effectiveness in delivering mental health education. This study aimed to examine the effect of social media based education on adolescent mental health in the digital era, comparing TikTok and PowerPoint as learning tools. A quasi experimental study with a pre test post test control group design was conducted on 60 students from the Nursing Department of SMK Babunnajah, selected through purposive sampling. Data were analyzed using the Wilcoxon test for within-group comparisons and the Mann–Whitney test for between-group differences. The Wilcoxon test showed significant improvements in mental health outcomes in both the experimental group (p < 0.001) and the control group (p = 0.001). The Mann Whitney test confirmed significant differences between the two groups (p < 0.001), indicating that TikTok based interventions had a greater effect than PowerPoint. TikTok proved to be more effective than PowerPoint in enhancing adolescent mental health awareness. Integrating creative and interactive social media platforms into health education may improve engagement and learning outcomes among teenagers.
The Effectiveness of Giving Orange Juice and Strawberry Juice on Increasing Hemoglobin Levels in Adolescent Girls with Anemia in Cihideung Village in 2025
Anemia is still a major health problem among adolescent girls in Indonesia, especially due to low hemoglobin levels that have an impact on concentration, learning productivity, and long- term health. Non-pharmacological efforts through consumption of fruits high in vitamin C, such as orange and strawberry, are believed to help increase hemoglobin in the body. This study aims to determine the effectiveness of giving orange juice and strawberry juice on increasing hemoglobin levels in adolescent girls with anemia in Cihideung Village in 2025. The research design used quasi experimental with two-group pretest-posttest design. The sample amounted to 30 anemic adolescent female respondents who were divided into two groups, namely 15 respondents given orange juice ± 200 ml / day for 14 days and 15 respondents given strawberry juice ± 200 ml / day for 14 days. The results showed a significant increase in hemoglobin levels in both groups. The average Hb level after orange juice consumption increased from 10.087 gr/dL to 12.173 gr/dL (p=0.0001), while after strawberry juice consumption increased from 9.820 gr/dL to 12.807 gr/dL (p=0.0001). Independent T test analysis showed a significant difference between the two groups with a value of p=0.006. Orange and strawberry juice proved effective in increasing hemoglobin levels, but the administration of strawberry juice showed higher effectiveness in adolescent girls with anemia.
Legal Authority of Pharmacists in Indonesia under Law No. 17 of 2023
Pharmaceutical practice in Indonesia is mandated to be conducted by licensed pharmaceutical personnel to ensure safety, efficacy, and accountability. Pharmacists in Indonesia possess comprehensive authority in pharmaceutical practice as mandated by Law No. 17 of 2023, covering prescription, restricted, and non-prescription medicines. This authority is reinforced through provisions that mandate professional certification, regulate medicine dispensing, and impose sanctions on unauthorized practice. This study examines pharmacists’ authority using a normative juridical approach through statutory analysis and relevant literature. The findings highlight pharmacists’ dual role as healthcare professionals and managers of pharmaceutical service facilities, with legal accountability that reinforces patient-centered care and public health protection. The study concludes that pharmacists’ authority is central to ensuring rational medicine use and calls for further research on its practical implementation, barriers to enforcement, and strategies to address illegal medicine distribution.
Antibacterial Activity of Facial Wash Formulated with Pegagang (Centella asiatica) and Sweet Orange (Citrus sinensis) Extracts against Staphylococcus aureus and Propionibacterium Acnes
Acne is a common skin disorder caused by Staphylococcus aureus and Propionibacterium acnes, and is influenced by hormonal, sebum, and lifestyle factors. One of the preventive measures can be the use of facial washes made from natural extracts. This study aimed to determine the most effective concentration of a facial wash combining Pegagang (Centella asiatica) and Sweet Orange (Citrus sinensis) extracts in inhibiting the growth of acne-causing bacteria. The disc diffusion method was used in this studyThe facial wash formulations were prepared in three variations of Pegagang extract concentrations (6%, 12%, and 15%) with a fixed Sweet Orange extract concentration of 10%. The F3 formula showed the highest antibacterial activity, with an average inhibition diameter of 22.74 mm, and was not significantly different from the positive control. These findings suggest that Formula F3 is the most effective and has strong potential to be developed as a natural-based facial wash for acne prevention.
Food Bank Optimization Program to Reduce Food Waste to Improve Food Security and Household Nutritional Status as an Effort to Support Economic Stability
The purpose of this study is to analyze the contribution of food banks in reducing food waste , improving household food security and nutritional status, and their role in supporting economic stability based on food and energy efficiency. By examining four interrelated dimensions: food waste reduction, food access, nutritional improvement, and household economic resilience, this study provides an integrated overview of the strategic role of food banks. This study employed the Systematic Literature Review (SLR) method, analyzing 25 scientific articles published between 2014 and 2024 from international databases such as Scopus, ScienceDirect, and Google Scholar. The PRISMA protocol was applied in the literature selection process, and data were evaluated through thematic and descriptive categorization. This study shows that food banks can reduce food waste by up to 30%, increase food access and household dietary diversity, improve the nutritional status of mothers and children, and reduce household food expenditure by 15–20%. Furthermore, food banks play a role in increasing social and economic resilience, particularly during times of crisis and inflation, by serving as a safety net and a means of community empowerment. This research provides empirical evidence that food banks can be integrated into national food security and poverty alleviation strategies. For Indonesia, developing community-based food banks is a practical solution to reduce food waste, improve public health, and strengthen household economic stability. Academically, this study offers a holistic framework for assessing multidimensional, sustainability-based food systems.
Analysis of Health Cadres Knowledge about Hypertension Management at the ILP (Primary Service Integrity) Posyandu Service in Singonegaran Village Kediri City
Problems that still occur during the transformation of primary services, especially in the treatment of hypertension, where there is still a lack of knowledge among cadres in treating hypertension. The aim of this study was to determine the relationship between cadre knowledge and the management of hypertension at the ILP (Primary Service Integrity) Posyandu service in Singonegaran Village, Kediri City. This research design is a correlational study with a cross-sectional approach. Respondents were selected using a simple random sampling technique. The population consisted of 102 peoples, with a sample size of 81 peoples. The independent variable is the cadre's knowledge and the dependent variable is the treatment of hypertension. The statistical test results used Spearman rank. Almost all respondents, 70 (86.4%) of whom had good knowledge of cadres, knew about hypertension. Almost all respondents, 73 (90.1%) of whom had good knowledge of hypertension. The results of the data analysis show that the significance level is 0.000 <α = 0.05 so that H0 is rejected and H1 is accepted, thus there is a relationship between cadre knowledge and the handling of hypertension at the ILP (Primary Service Integrity) Posyandu service in Singonegaran Village, Kediri City. The better the cadres' knowledge, the better the treatment of hypertension. It is hoped that cadres will always provide information to the public about preventing and treating hypertension.
Systematic Review: The Relationship Between Lifestyle, Diet, and Physical Activity and the Risk of PCOS in Women of Reproductive Age
Polycystic ovary syndrome (PCOS) is the most common endocrine disorder among women of reproductive age, with reproductive, metabolic, and psychosocial consequences. In Indonesia, epidemiological data on PCOS remain limited, while unhealthy lifestyles and obesity are increasing. To summarize the latest scientific evidence on the effectiveness of lifestyle-based interventions on metabolic and reproductive parameters in women with PCOS and to identify research gaps in the Indonesian context. A systematic review of the Scopus, PubMed, and BMC databases (Q1–Q4) up to the most recent year. Twenty-nine interventional and observational studies assessing diet, physical activity, and lifestyle education in PCOS were thematically analyzed. The combination of hypocaloric/low-glycemic index diets and increased physical activity significantly reduced body weight, BMI, waist circumference, fasting glucose and insulin, and lipid profiles, and improved menstrual cycle regularity and ovulation. A ≥5% weight loss was identified as the minimal threshold for hormonal improvement. Obesity, high-calorie low-fiber diets, low physical activity, stress, and sedentary behavior were the main risk factors for PCOS. Lifestyle modification is effective, cost-effective, and should be implemented comprehensively, including psychological support. In Indonesia, strong local research and school- or primary health care–based preventive programs are needed to reduce PCOS risk from adolescence.
The Impact of Health Entrepreneurship and Holistic Innovation on Public Health Optimization
This study investigates the impact of health entrepreneurship and holistic innovation on public health optimization in Indonesia. Drawing on data from 100 respondents in 2024 registered with the Indonesian Healthtech Association (AHI) and supported by the Ministry of Health, a quantitative cross-sectional survey was employed. Primary data were collected through structured Likert-scale questionnaires, while secondary data were obtained from the Central Bureau of Statistics (BPS) and the Ministry of Health annual reports. Regression results show that health entrepreneurship significantly contributes to public health optimization (β = 0.398, p < 0.05), while holistic innovation exerts a stronger effect (β = 0.552, p < 0.01). Together, these factors account for 64% of variance in public health outcomes. The findings underscore the importance of entrepreneurial ecosystems and innovation-driven strategies for achieving sustainable and equitable health systems in Indonesia.
Association between Medication Adherence and Tuberculosis Treatment Outcomes: A Retrospective Cohort Study at a Primary Health Center in Kediri, Indonesia
Tuberculosis (TB) remains a significant public health burden in Indonesia, where treatment success is often limited by poor patient adherence. This study aimed to evaluate the association between medication adherence and treatment outcomes among TB patients at the North Region of Kediri City primary healthcare centre, Indonesia. A retrospective cohort design was employed involving 38 patients who received clinical pharmacy services between 2024 and 2025. Adherence was measured using pharmacist records from the Drug Therapy Monitoring (DTM) log, while treatment outcomes were determined from final treatment status. Statistical analysis using Spearman’s correlation demonstrated a significant association between adherence and treatment outcomes (p = 0.002; r = 0.519). Patients with high adherence were more likely to achieve cure, whereas all non-adherent patients experienced incomplete treatment. These findings underscore the crucial role of pharmacists in strengthening patient adherence through sustained counseling and education. Optimizing clinical pharmacy services at the primary care level may therefore enhance treatment success and contribute to national TB elimination efforts.
The Relationship between Physical Activity and Hypertension among Obese Adolescents in Malang City
Adolescent obesity has become an increasingly prevalent public health issue, particularly in urban areas such as Malang City. One of the serious complications of obesity is hypertension. Low levels of physical activity are a major risk factor contributing to increased blood pressure in obese adolescents. This study aims to determine the relationship between physical activity levels and the incidence of hypertension among obese adolescents in Malang City. This research employed a quantitative design with a cross-sectional approach. A total of 60 obese adolescents aged 10–19 years were selected from Pandanwangi and Sawoajajar sub-districts in Malang City using purposive sampling. Physical activity data were collected using the PAQ-A (Physical Activity Questionnaire for Adolescents), while blood pressure was measured using a digital sphygmomanometer. Data analysis was conducted using the chi-square test to assess the relationship between the two variables. The results showed that, based on BMI, 44 respondents (73.3%) were classified as Obesity Grade 1. The majority of respondents, 32 (53.3%), had low physical activity levels (categorized as inactive), and 33 respondents (55%) had pre-hypertension. The analysis revealed a significant relationship between physical activity level and the incidence of hypertension among obese adolescents, with a significance value of 0.000 (p < 0.05). Adolescents with low levels of physical activity had a higher risk of developing hypertension compared to those with moderate to high activity levels. Low physical activity levels are closely associated with an increased incidence of hypertension in obese adolescents. Therefore, physical activity-based interventions need to be enhanced among adolescents to prevent long-term complications of obesity, including hypertension.
Diabetes Mellitus Management Model in Bojonegoro District: A Literature Review
Diabetes Mellitus (DM) is a non-communicable disease with a steadily increasing prevalence in Indonesia, including in Bojonegoro Regency. DM management requires a comprehensive and sustainable model to prevent complications and improve patients' quality of life. To analyze the Diabetes Mellitus management model in Bojonegoro Regency based on existing literature and policies, and to identify factors influencing its effectiveness. This literature review used a systematic approach by analyzing scientific publications, government reports, and policy documents from 2020-2025. The literature search focused on DM management models at the community health center (Puskesmas), hospital, and community levels. The DM management model in Bojonegoro Regency adopts a five-pillar diabetes approach, encompassing education, dietary management, exercise, stress management, and drug therapy. The Chronic Disease Management Program (PROLANIS) serves as the backbone of DM management at the community health center level, with support from Sosodoro Djatikoesoemo Regional General Hospital (RSUD) as the referral hospital. The DM management model in Bojonegoro Regency shows integration between primary and secondary services with an emphasis on community empowerment, although it still faces challenges in terms of patient compliance and service accessibility.
Implementation of Discharge Planning to Improve Knowledge of Diabetes Mellitus Patients in Bojonegoro District: Literature Review
Diabetes mellitus (DM) is a chronic disease that requires continuous management. Effective discharge planning is key to improving the knowledge of DM patients to prevent complications and readmissions. In Indonesia, the prevalence of DM is projected to increase from 9.19% in 2020 to 16.09% in 2045, with an estimated 40.7 million cases. To analyze the implementation of discharge planning in improving the knowledge of diabetes mellitus patients based on current evidence-based practice. A literature review was conducted using a search of scientific articles from PubMed, Science Direct, and Indonesian health journals for the 2020-2025 period. Inclusion criteria included articles discussing discharge planning in DM patients, published within the last 5 years, and available in Indonesian or English. Structured discharge planning has been shown to improve DM patients' knowledge, reduce readmission rates, and enhance self-care adherence. Optimal implementation requires a multidisciplinary team approach with validated educational modules. Discharge planning is an important intervention in improving outcomes of DM patients by increasing knowledge and self-management skills.
Description of Maternal Age, Parity, and History of Hypertension with the Incidence of Preeclampsia in Pregnant Women at Cibeber Public Health Center in 2024
The maternal mortality rate remains a priority issue in the health sector, particularly in maternal and child health. Maternal health is a crucial matter for a nation, as the health status of a country can be measured by its Maternal Mortality Ratio (MMR). Based on data obtained from Cibeber Public Health Center, 60 cases of preeclampsia were still found. Risk factors for preeclampsia include primigravida, high-risk age (<20 years old or >35 years old), and a history of preeclampsia/eclamps. This study aims to determine the description of maternal age, parity, and history of hypertension associated with preeclampsia in pregnancy at Cibeber Public Health Center in 2024. This research uses a quantitative observational method with a cross-sectional approach. The sample in this study consisted of 92 pregnant women, obtained using total sampling. Data collection was carried out using the Maternal and Child Health (KIA) register book. This study showed that 27 pregnant women (29.3%) experienced preeclampsia. The number of pregnant women aged <20 years and >30 years was 48 (52.2%), while those aged 20-35 years were 44 (47.8%). Pregnant women with parity ≤1 or >4 numbered 48 (52.2%), and those with parity 2-4 numbered 44 (47.8%). Pregnant women with a history of hypertension numbered 42 (45.7%), and those without a history of hypertension numbered 50 (54.3%). It is hoped that the results of this study can be used as a learning resource for future researchers to understand more clearly the variables studied. Future researchers are also encouraged to investigate variables not covered in this study in different locations.
Violation of Business Ethics in the Professionality of Marketing Children's Syrup Medicine (Literatur Review)
The mysterious cases of acute kidney failure in children currently spreading in Indonesia are suspected to be caused by a mixture of syrup compounds, namely ethylene glycol and diethylene glycol. Ethylene glycol and diethylene glycol are chemicals that should not be present in drug mixtures. If consumed orally, they can cause harmful effects to the body. Adding additional solvents to syrups for children constitutes dishonest behavior, deceiving consumers, because they are not listed on the drug's composition label. This dishonesty can cause illness and even death in children. Violations of business ethics such as these constitute actions and/or actions that harm consumers. The Indonesian Food and Drug Authority (BPOM) has taken legal action against the pharmaceutical company that committed this case for producing drugs with very high levels of ethylene glycol, exceeding the threshold. The company faces a 10-year prison sentence and a Rp 1 billion fine. However, the situation should not stop there. The Food and Drug Authority (BPOM) must conduct stricter oversight of all drug and food manufacturers to ensure the safety of all consumers. In this article, the author will examine the issue of "Violations of business ethics in the professional marketing of children's syrup medication" using a literature review method based on published articles from journals and other scientific publications.
Nutritional Status of Children Aged 24–59 Months in the Working Area of Public Health Centers in Palembang City
Nutritional status of toddlers is an important indicator in determining public health levels. According to the 2024 data from the Palembang City Health Office, Puskesmas Kertapati recorded 34 cases of stunting, 17 cases of wasting, 41 cases of underweight, and 3 cases of overweight among children aged 24–59 months. These findings indicate that both undernutrition and overnutrition remain public health concerns. Several factors such as exclusive breastfeeding, recurrent infections, environmental sanitation, family size, maternal education, household income, and parental occupation are suspected to contribute to children’s nutritional status. To describe the nutritional status of children aged 24–59 months in the working area of Puskesmas Kertapati, Palembang based on various influencing factors. This research used a descriptive quantitative method with a cross-sectional approach. A total of 78 children were selected using accidental sampling. Primary data were collected through structured interviews u sing questionnaires, and secondary data were obtained from anthropometric records at the health center. Data were analyzed descriptively to identify distributions of nutritional status and respondent characteristics. The study showed that most children were in the normal nutritional category, although cases of undernutrition and overnutrition were still found. Factors such as low maternal education, low household income, and inadequate sanitation conditions were linked to poor nutritional outcomes. Improving child nutrition requires comprehensive efforts through nutrition education, improved health service access, and community-based interventions in the working area of Puskesmas Kertapati Palembang.
Stress Level with Menstrual Cycle in XI Class Girl Students at State Vocational High School
This study discusses the relationship between stress levels and the menstrual cycle in 11th grade girls at SMK Negeri 1 Bagor Nganjuk. Stress is known to be one of the factors that cause disturbances in the menstrual cycle, as high cortisol hormone levels can affect the balance of reproductive hormones. This study uses a correlational design with a cross-sectional approach and was conducted on July 19, 2025. The population in this study consists of all 11th-grade female students totaling 232 individuals, with a sample size of 147 respondents selected using proportional random sampling technique. The independent variable in this study is the stress level measured by the DASS 42 questionnaire, while the dependent variable is the menstrual cycle measured by a specific menstrual cycle questionnaire. Data analysis is conducted using the Spearman-Rank Correlation statistical test with SPSS at a significance level of 0.05. The results of the study show that nearly half of the respondents experienced mild stress (34.7%), and from this group, 16.3% had menstrual cycles characterized by polymenorrhea. Statistical analysis showed a value of ρ = 0.00 < α = 0.05, which indicates a significant relationship between stress levels and menstrual cycles. The correlation coefficient value of r = 0.508 indicates that this relationship is in the moderately strong category. It is concluded that the higher the stress level, the greater the risk of disturbances in the menstrual cycle. Therefore, good stress management becomes an important effort in preventing menstrual irregularities.
Improving Posyandu Utilization among the Elderly: The Critical Role of Family Support and Access
This study explores the factors influencing Posyandu utilization among elderly individuals in Palembang, Indonesia. Data were collected from 125 pre-elderly and elderly individuals across eight health centers. Univariate, bivariate, and multivariate analyses identified significant determinants of Posyandu use, including family support, ownership of Kartu Menuju Sehat (KMS), and access to Posyandu. The results showed that family support was the most influential factor, with an odds ratio (OR) of 3.893 (95% CI: 1.673 – 9.261), indicating that individuals with good family support were nearly four times more likely to utilize Posyandu services. Ownership of KMS (OR = 2.982, 95% CI: 1.192 – 7.460) and easy access to Posyandu (OR = 3.231, 95% CI: 1.301 – 8.022) were also significantly associated with higher service utilization. These findings highlight the need for policies that strengthen family support, improve healthcare access, and expand health insurance coverage for elderly populations to increase Posyandu utilization and improve health outcomes. The implications of this study suggest that enhancing family involvement, improving infrastructure for healthcare access, and expanding health insurance programs can significantly contribute to the utilization of health services among elderly individuals, thus promoting better overall health outcomes for this population.
Effect Application Bundle VAP and Installation Normal 0.9% on the Ventilator Associated Events Incidence in ICU RSUD Mardi Waluyo Hospital Blitar City
Ventilator-Associated Events (VAE) is one of the serious complications that often occur in patients with mechanical ventilation in the Intensive Treatment Unit (ICU). VAE includes ventilator-associated condition (VAC), infection-related ventilator-associated complications (IVAC), and Possible Ventilator-Associated Pneumonia (PVAP), which can increase morbidity, mortality, length of treatment, and maintenance costs. VAE prevention efforts are focused on applying the ventilator maintenance bundles and additional interventions, one of which is the use of normal saline installation 0.9%. This study aims to analyze the effect of the application of the VAP bundle and normal installation of 0.9% copy to the VAE incidence in the ICU Room of Mardi Waluyo Hospital, Blitar City. The research method uses the quasi-experimental design with a pretest-posttest with control group design. The research sample consists of patients who use mechanical ventilator according to inclusion criteria, divided into control and intervention groups. Data analysis is carried out univariate, bivariate using the Wilcoxon test, as well as multivariates through logistics/nominal regression regression. The results showed a significant decrease in the incidence of VAC and IVAC after the application of the VAP bundle compared to before the intervention. The application of bundles combined with normal installation of 0.9% copy in the intervention group has proven to be more effective in reducing the incidence of VAE than the control group. Regression analysis shows that the Bundle VAP is a protective factor for the incidence of VAE, while saline installation has an additional effect that strengthens prevention. The conclusion of this research confirms the importance of the implementation of the VAP Bundle consistently as the main strategy of preventing Vae in the ICU. In addition, the normal installation of 0.9% copy can be considered as an additional and easily applied additional intervention. Clinical implications of this study are the need to strengthen hospital policy in the implementation of the VAP bundle and the socialization of the use of normal saline as part of the patient care protocol with mechanical ventilation.
Inhibitory Effect of Insulin Leaf (Smallanthus sonchifolius) Extract on the Growth of Staphylococcus aureus in Vitro
Staphylococcus aureus infection is a serious health problem, especially amid increasing resistance to antibiotic use. One alternative treatment is the use of natural ingredients such as insulin leaves (Smallanthus sonchifolius), which are known to contain active compounds with potential antibacterial properties. This study aims to determine the ability of insulin leaf extract (Smallanthus sonchifolius) to inhibit the growth of Staphylococcus aureus in vitro, as well as to determine the optimal concentration for maximum inhibitory activity. This study is an experimental laboratory study using a posttest control group design with the well diffusion method on MHA medium at extract concentrations of 25%, 50%, and 75%. The negative control used DMSO, and the positive control used clindamycin. The results showed that insulin leaf extract (Smallanthus sonchifolius) was able to inhibit the growth of Staphylococcus aureus, with the inhibition zone diameter increasing with increasing concentration, where the 75% concentration produced the greatest inhibitory effect. ANOVA analysis showed significant differences between treatments (p < 0.05). The insulin leaf extract (Smallanthus sonchifolius) was able to inhibit the growth of Staphylococcus aureus In Vitro, with the greatest inhibitory effect at a 75% extract concentration.
smallanthus sonchifolius and staphylococcus aureus
Social Support for Parents of Disabilities Children: A Scoping Review
Raising children with disabilities can be a heavy burden for families which ultimately has a negative impact on the child. Many studies recommend the need for social support for parents. Although the need for social support has been widely reported, the impact of social support for parents with disabilities children in the literature is very diverse. Therefore, a scoping review was conducted to identify the impact of social support for parents of children with special needs in international studies. Four databases were systematically searched. Boolean operators were used to search multiple online databases. Ten studies were included in the review, from which positive impacts of social support for parents with disability children were identified on parents themselves, families, and children. The positive impacts of social support on parents were increasing resilience, coping skill, parenting efficacy, parenting mental health literacy and decreasing psychological distress and depression-anxiety symptoms. The impacts for parents are also buffering effect on parenteral stress-depression, parenteral stress-efficacy and parents’ satisfaction, positive affect, and depression. The positive impacts on the family increasing family psychological health and family quality of life, and decreasing family burden. Social support is also buffering the effect on family burden-psychological health and resilience. The positive impacts on children are decreasing the emotional and behavioural problem. Social support for parents of children with disabilities has many positive impacts on the parents themselves, the family, and the child. Through identifying the benefits of social support, direction can be provided for interventions by enabling professionals to detect and address available social support. Recommendations for future research are made.
Nursing in the Future Using Artificial Intelligence in Improving Quality Services: Literature Review
Digital transformation in the health sector has brought artificial intelligence (AI) as a revolutionary technology that has the potential to change the paradigm of nursing services. The integration of AI in nursing practice promises to improve service quality through data-driven decision making, automation of administrative tasks, and personalisation of patient care. Purpose this article to analyse the prospects and implementation of AI in future nursing services and its impact on the quality of nursing services based on the latest scientific evidence. Method reseach by Literature review. A search for relevant studies was conducted in several databases, namely SciSpace PUBMED, Scopus, and Google Scholar, using keywords and terms related to nursing, artificial intelligence, and machine learning in the range of 2020-2025. Results: AI shows transformative potential in six key areas of nursing: (1) Predictive analytics for early identification of patient risk and risk stratification, enabling more timely preventive interventions; (2) Clinical decision support systems (CDS) that provide evidence-based diagnosis and nursing plan recommendations to improve the consistency of clinical assessments; (3) Automated monitoring through signal and visual analysis for the detection of clinical events such as fall risk and changes in vital signs, which speeds up the response to care; (4) Documentation automation using natural language processing (NLP), which reduces administrative burden by up to 40% and increases direct patient care time; (5) Virtual assistants and telehealth, which expand remote care access and support ongoing patient education; and (6) Assistive robotics, which aid in logistical tasks and reduce the risk of occupational injuries for nurses.
The Effect of Effleurage Massage on Anxiety in Pregnant Women Facing Childbirth
Anxiety during pregnancy, particularly when facing childbirth, represents a significant psychological challenge that can adversely affect maternal and fetal outcomes. This study aimed to analyze the effectiveness of effleurage massage as a complementary intervention in reducing anxiety levels among pregnant women preparing for childbirth. A quasi-experimental design with pre-post test control group was employed, involving 60 third-trimester pregnant women (28-36 weeks gestation) randomly allocated into intervention group (n=15) receiving effleurage massage and control group (n=15) receiving standard antenatal care. The intervention consisted of effleurage massage performed three times weekly for four weeks, with each session lasting 20 minutes, focusing on back, shoulder, and arm areas. Anxiety levels were measured using the Indonesian validated version of Hamilton Anxiety Rating Scale (HARS). Statistical analysis revealed significant anxiety reduction in the intervention group from baseline to post-intervention (p<0.001), while the control group experienced increased anxiety levels from (p=0.042). Independent t-test demonstrated significant between-group differences post-intervention (p<0.001). The findings suggest that effleurage massage is an effective, safe, and cost-efficient complementary therapy for managing pregnancy-related anxiety and can be integrated into routine maternity nursing practice to enhance maternal psychological well-being.
EXPLORING NURSES’ PERSPECTIVES ON THE FUNCTION OF HEADROOM MANAGEMENT IN SELECTED HOSPITALS AMID THE COVID-19 CRISIS
The Covid-19 pandemic has occurred all over the world and has had a significant impact on patient care. The headroom is the first-line nursing manager, who has an essential role in providing care. Headroom has vital role in directing staff to work according to standards during a pandemic. To analyze nurses' perceptions of the management function of the headroom during the Covid-19 pandemic. This study uses a descriptive correlation research design with a cross-sectional approach. The sample consisted of 250 participant. Collecting data using questionnaires on respondents' demographic data and nurse perception to the headroom management function using the Managerial Competencies of Head Nurse Tool instrument. The analysis results showed that most respondents were female nurses, had a vocational nursing education, were married, had attended patient safety training, and working inpatient rooms. The results of the analysis management function of the headroom in the hospitals is 89.59 (69.59%), staffing and actuating function has the highest presentation of 69.50% from the three hospitals. At the same time, the lowest in the planning function of 43.31%. Based on the results, the function with the lowest implementation is the planning function. Meanwhile, staffing and actuating have the best performance. Non-optimal management function can be because of lack of management support.
Copyright (c) 2023 Proceeding Strada International Conference on Health
ASSESSMENT OF THERAPY ADHERENCE AND SEXUAL CONDUCT AMONG HIV POSITIVE HOUSEWIVES VISITING THE CARE, SUPPORT, AND TREATMENT UNIT AT CUKIR PUBLIC HEALTH CENTER
The use of ARV drugs aims to reduce HIV/AIDS-related deaths and increase life expectancy in addition to clinical improvement of people living with HIV. Antiretroviral apart from being an antiviral is also useful for preventing HIV transmission to sexual partners, as well as HIV transmission from mother to child. In the end, it is hoped that this will reduce the number of cases of people infected with new HIV in various countries. Non-adherence to taking ARVs and unsafe sexual behavior can lead to high transmission rates. This study aims to analyze medication adherence and sexual behavior among housewives with HIV/AIDS who visited the CST service at the Cukir Health Center. This study uses a qualitative method with a case study approach. Data was collected through in-depth interviews with semi-structured interview guidelines, and documentation with 18 PLWHA. Data analysis was carried out descriptively with triangulation methods and data analysis. The results of the analysis illustrate that there is still a lack of perception of vulnerability, perception of pain and perception of benefits for PLWHA, especially unsafe sex behavior of PLWHA.
HEALTHY LIVING HABITS AMONG ADOLESCENTS DURING THE ENDEMIC PHASE
Facing a disruptive era that full of changes and challenges during the pandemic, psychological strength is needed by adolescents to be able to rise and bounce back to the optimal health functions. Adolescents are one of the high-risk groups in pandemic situation, therefore they need to stay safe and healthy to continue their lives in the future, one of which is by doing healthy lifestyle behavior. In this context, resilience and exposure of adequate health-related information need to be considered by adolescents in performing healthy lifestyle behavior in their daily life. This research aimed to determine the influence of resilience and health-related information exposure on adolescents’ healthy lifestyle behavior in endemic era. This research used a descriptive-analytic study with a cross-sectional design. The population were all adolescents in Kediri aged 15-19 years old. The sample was collected by cluster random sampling. The total sample of this research were 111 respondents. The independent variable was resilience and health-related information exposure. The dependent variable was adolescents’ healthy lifestyle behavior. Data were collected by using questionnaires and analyzed by using regression with dummy variable. Based on regression analysis, variables that affect the adolescents’ healthy lifestyle behavior are resilience and health-related information exposure (p=0,000). Adolescents’ healthy lifestyle behavior has significant correlation with resilience (p=0,024) and health-related information exposure (p=0,000). Resilience and health-related information exposure are predictors of adolescents’ healthy lifestyle behavior in endemic era. According to the research result, adolescent in Kediri need to raise awareness and practice about resilience and to look for more access to health-related information to maintain or increase their healthy lifestyle behavior in this endemic era.