Journal Title : Jurnal Kesehatan dan Kedokteran (JUKEKE) Initials : JUKEKE Frequency : Februari, Juni, dan Oktober Print ISSN : 2829-0437 Online ISSN : 2829-050X Editor in Chief : Dr. Abdul Muchlis DOI : 10.56127 Publisher : Asosiasi Dosen Muda Indonesia Sponsored : (Kami Memasang Tarif Untuk Iklan Disini Harap Hubungi ADMIN) Jurnal Kesehatan dan Kedokteran (JUKEKE), ISSN: 2829-0437 (cetak), ISSN: 2829-050X (online) adalah jurnal yang ditujukan untuk publikasi artikel ilmiah yang diterbitkan oleh Asosiasi Dosen Muda Indonesia dan di payungi Oleh Yayasan Dosen Muda Indonesia. saat ini sudah terakreditasi SINTA 5 Sampai 2027 sesuai dengan keputusan Direktur Jendral Pendidikan Tinggi, Riset dan Teknologi Nomer 10/C/C3/DT.05.00/2025. Jurnal Ilmiah Kesehatan dan Kedokteran menyajikan hasil penelitian dan tinjauan pustaka sehingga jurnal ini bermanfaat bagi dokter, pengambil kebijakan, tenaga kesehatan, dosen serta mahasiswa yang tertarik dengan publikasi ilmiah terkait Ilmu Kedokteran dan Kesehatan. Jurnal ini diterbitkan 3 (tiga) kali dalam satu tahun yaitu Edisi Februari, Juni, dan Oktober. Indexed by:
Application of Group Activity Therapy in Improving Social Interaction Skills in Patients With Social Isolation at UPT Bina Laras Pasuruan
Social isolation is a major nursing problem among patients with schizophrenia and is characterized by withdrawal, reduced interaction, and impaired social functioning. This case study aims to evaluate the effectiveness of Group Activity Therapy in improving social interaction skills among patients with social isolation at UPT Bina Laras Pasuruan. A case study approach was employed involving five patients diagnosed with social isolation. Interventions were delivered over two weeks, with 30-minute sessions implementing the Nursing Action Implementation Strategy (SPTK) and six structured group activity sessions focusing on self-introduction, communication, cooperation, and recreational engagement. The results indicated substantial reductions in both major and minor symptoms of social isolation. From nine symptoms observed on day one, only two remained by day eleven limited eye contact and purposeless movements. Verbal and non-verbal communication improved progressively, demonstrated by the patients’ ability to introduce themselves, initiate conversations, maintain appropriate posture, and participate in group activities independently. Patients also appeared calmer and more cooperative following the intervention. In conclusion, Group Activity Therapy is an effective non-pharmacological intervention for enhancing social interaction, motivation, and interpersonal functioning in patients with schizophrenia experiencing social isolation. Its implementation is recommended as part of psychiatric nursing practice in mental rehabilitation settings.
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Oxygenation and Semi-Fowler Position to Improve Breathing Patterns in Clients with Acute Decompensated Heart Failure (ADHF)
Acute Decompensated Heart Failure (ADHF) is a cardiovascular emergency commonly characterized by dyspnea, orthopnea, use of accessory muscles, and reduced oxygen saturation. These manifestations arise from increased left ventricular pressure and pulmonary congestion, which lead to an ineffective breathing pattern. This study aimed to evaluate the effectiveness of combining oxygen therapy using a nasal cannula and the Semi-Fowler position in improving the breathing pattern of patients with ADHF. A case study design was applied to three patients admitted to the ICCU of Kanjuruhan Hospital, Malang. The intervention consisted of administering oxygen at 4 L/min via nasal cannula along with positioning patients in Semi-Fowler at 30–45°, delivered consistently over three days. Respiratory parameters observed included dyspnea, orthopnea, use of accessory muscles, respiratory rate, and oxygen saturation. The results demonstrated significant improvement beginning on the second day, marked by reduced dyspnea and orthopnea, absence of accessory muscle use, decreased respiratory rate toward the normal range, and increased oxygen saturation above 94%. On the third day, all patients achieved optimal improvement across all respiratory indicators. The combined intervention effectively reduced respiratory workload, enhanced lung expansion, and optimized ventilation–perfusion mechanisms. These findings indicate that simple and non-invasive measures, such as oxygen therapy and Semi-Fowler positioning, can serve as an effective standard nursing strategy for managing ineffective breathing patterns in ADHF patients in intensive care settings.
Application of the Buerger Allen Exercise (BAE) in Lowering Blood Glucose Levels In Mrs. S With Diabetes Mellitus In Sukoanyar Village, Pakis District, Malang Regency
Diabetes Mellitus is a metabolic disorder characterized by high blood glucose levels exceeding normal limits due to insulin deficiency, the inability of insulin to function optimally, or both. One method that can be used by diabetes patients who experience blood circulation or artery problems is to do Buerger Allen Exercises regularly. The aim of study was to determine the effect of Buerger Allen Exercise (BAE) therapy in reducing blood glucose levels in Mrs. S with Diabetes Mellitus in Sukoanyar Village, Pakis District, Malang Regency. The research method or design used in this study is qualitative with a case study research strategy. Data collection for this study was conducted in Sukoanyar Village, Pakis District on May 3-8, 2025. The subject were selected by the researcher using non-probability sampling technique with a purposive sampling method. The instruments used in this study were the SOP for Buerger Allen Exercise Therapy. The therapy is conducted for 15 minutes over 6 consecutive days. After completing the therapy each day, the patient's blood glucose will be measured again. The results of this study indicate that there is an effect of providing Buerger Allen exercise (BAE) therapy on reducing blood glucose levels in diabetes mellitus patients.
The Role of Self-Compassion in Psychological Well-Being Among Young Adults from Single-Parent Families
Abstract: Entering young adulthood involves significant role transitions and increasing responsibilities that require effective psychological adaptation. For individuals raised in single-parent families, limited parental support and the absence of one parental figure may pose additional challenges to psychological well-being. Therefore, this study aims to examine the role of self-compassion in promoting psychological well-being among young adults from single-parent families. This study employed a quantitative approach using a cross-sectional design, with data collected through self-report questionnaires and analyzed using simple linear regression. A total of 130 young adults from single-parent families participated in the study through purposive sampling. The findings reveal that self-compassion significantly contributes to psychological well-being (p < 0.05), with a coefficient of determination (R²) of 0.481, indicating that self-compassion accounts for 48.1% of the variance in psychological well-being. Both self-compassion and psychological well-being were found to be at moderate levels among participants. These results suggest that fostering self-compassion may serve as an effective internal resource to support psychological well-being in young adults facing family-related adversities. The originality of this study lies in its focus on young adults raised by a single parent due to parental loss, highlighting self-compassion as a key protective factor within this specific population and contributing empirical evidence to the growing literature on positive psychological resources in vulnerable family contexts.
The Effectiveness of Health Promotion on the Prevention of Urolithiasis: A Literature Review
This study aims to review the effectiveness of health promotion interventions in preventing urolithiasis between 2020 and 2025 and to examine their contribution to achieving Sustainable Development Goal (SDG) 3, considering the high recurrence of urolithiasis and its strong association with lifestyle-related risk factors. A narrative literature review was conducted using secondary data from articles published between 2020 and 2025, retrieved from Google Scholar, GARUDA, and university journal portals. Selected studies were analysed descriptively and thematically to identify intervention types and outcomes. The findings indicate that health promotion interventions effectively improve knowledge, attitudes, and preventive behaviours related to urolithiasis. Community- and school-based programs enhanced awareness of adequate hydration, healthy dietary patterns, and water-consumption habits, demonstrating their preventive impact. Health promotion represents a practical and cost-effective strategy for urolithiasis prevention and supports broader non-communicable disease prevention efforts aligned with SDG 3. The integration of digital health approaches is recommended to strengthen sustainability and long-term behavioural change. This review provides a focused synthesis of post-2020 evidence on preventive health promotion strategies for urolithiasis, offering context-specific insights that extend beyond clinical management and contribute to public health practice.
Metabolic Dysregulation in Polycystic Ovary Syndrome: The Central Role of Insulin Resistance and Novel Therapeutic Perspectives
Polycystic ovary syndrome (PCOS) is a prevalent endocrine disorder with complex reproductive and metabolic consequences that remain insufficiently addressed by symptom-oriented management strategies. This study aims to review and synthesize recent evidence on the metabolic basis of PCOS, emphasizing the importance of insulin resistance and hyperinsulinemia as central mechanisms underlying both metabolic and reproductive abnormalities. A narrative review method was employed by analyzing peer-reviewed literature published in recent years, focusing on studies examining insulin signaling disturbances, mitochondrial dysfunction, oxidative stress, inflammatory pathways, and emerging therapeutic approaches in PCOS. The main findings indicate that insulin resistance and hyperinsulinemia act as key drivers of PCOS across diverse phenotypes, including non-obese women, while mitochondrial dysfunction and chronic inflammation further amplify metabolic–reproductive impairment. The results also show that improvements in metabolic parameters do not consistently align with normalization of reproductive hormones, underscoring the heterogeneous and multifactorial nature of PCOS. These findings have important implications for clinical practice, supporting the adoption of personalized, mechanism-based management strategies that integrate metabolic profiling with reproductive goals. The originality of this review lies in its integrative metabolic–reproductive framework, which consolidates emerging mechanistic insights and novel therapeutic perspectives to reconceptualize PCOS as a systemic metabolic–reproductive disorder.
The Relationship between Husbands’ Knowledge and Support among Working Pregnant Women in Stunting Prevention at RSIA Yasmin Palangka Raya
Maternal nutrition during pregnancy is a critical entry point for stunting prevention, and husbands may influence pregnant women’s health behaviors through both knowledge and practical support, particularly when pregnant women are employed and face dual role demands; however, evidence on whether husbands’ knowledge translates into supportive behaviors remains limited in local clinical settings. This study aimed to examine the relationship between husbands’ knowledge and husbands’ support in the context of stunting prevention at RSIA Yasmin Palangka Raya using a quantitative descriptive correlational design with a cross-sectional approach. Data were collected from 30 respondents during antenatal care visits using structured questionnaires assessing husbands’ knowledge regarding pregnancy health and stunting prevention and husbands’ support across emotional, instrumental, and informational dimensions, and the association was tested using Spearman’s rank correlation (p < 0.05). Most husbands demonstrated good knowledge (93.3%) while husbands’ support was predominantly moderate (83.3%); the correlation between husbands’ knowledge and support was very weak and not statistically significant (r = 0.141; p = 0.458). These findings indicate that higher knowledge does not necessarily correspond to higher practical support, suggesting that stunting-prevention interventions should not only strengthen knowledge but also address practical constraints and sociocultural factors that shape husbands’ involvement.
Medication Adherence Associated with Tuberculosis Knowledge and Treatment Duration among Pulmonary Tuberculosis Patients at a TB DOTS Clinic in Jakarta, Indonesia
This study aimed to analyze medication adherence among pulmonary tuberculosis patients by examining the roles of patients’ knowledge level and treatment duration within a TB DOTS clinical setting. Methodology: A quantitative analytic study with a cross-sectional design was conducted among 89 pulmonary tuberculosis patients at the TB DOTS Clinic of Pasar Minggu Regional General Hospital. Data were collected using structured questionnaires and clinical records. Univariate analysis described respondent characteristics, while bivariate analysis using the Chi-Square test examined the relationships between study variables. Findings: The results showed that most patients demonstrated poor knowledge of tuberculosis and associated with levels of medication adherence. A statistically significant relationship was found between patients’ knowledge and medication adherence, indicating that higher knowledge levels were associated with better adherence. In contrast, treatment duration was not significantly associated with medication adherence. Implications: These findings highlight the importance of strengthening patient education within tuberculosis control programs, as improved knowledge may enhance adherence and support successful treatment outcomes. Originality: This study provides empirical evidence from a real-world DOTS clinical setting by integrating patient knowledge and treatment duration in adherence analysis. The findings demonstrate that patient knowledge may play a more influential role than treatment duration in shaping medication adherence, offering a patient-centered contribution to tuberculosis care research.
The Relationship Between Patients’ Knowledge and Medication Adherence and Asthma Control at the Pulmonary Clinic of Pasar Minggu Regional General Hospital
Asthma control is often suboptimal in routine care, and gaps in patient knowledge and medication adherence may contribute to poor control. Objective: This study aimed to examine the relationship between patients’ asthma knowledge level and medication adherence with asthma control among adult patients attending the Pulmonary Clinic of Pasar Minggu Regional General Hospital. Methodology: A quantitative cross-sectional design was used with consecutive sampling of 191 adult asthma patients. Data were collected using validated questionnaires: ACQ-5, AGKQ, and MMAS-8. Descriptive statistics summarized distributions, and Chi-square tests examined associations between knowledge and asthma control, and between adherence and asthma control. Findings: Most participants had uncontrolled asthma (56.0%), low asthma knowledge (55.0%), and low medication adherence (56.5%). Knowledge level was significantly associated with asthma control (p = 0.001), with uncontrolled asthma more prevalent in the low-knowledge group (70.5%) than the high-knowledge group (38.4%). Medication adherence was also significantly associated with asthma control (p = 0.001), with uncontrolled asthma more common among low adherence (67.6%) than moderate (41.4%) or high adherence (38.5%). Implications: Integrating structured education and adherence-support strategies into routine outpatient care may improve asthma control and reduce exacerbation risk. Originality: This study integrates asthma knowledge and medication adherence within the same analytic framework of asthma control in an Indonesian pulmonary-clinic population, providing context-specific evidence for targeted clinic-based interventions.
Effectiveness of Patient Education in Improving Knowledge and Wound-Care Adherence in Diabetic Gangrene and Diabetic Foot Disease: A Systematic Review
Abstract: Diabetes-related foot wounds can deteriorate into infection and diabetic gangrene, increasing amputation risk when self-care and timely management are inadequate. Objective: This systematic review evaluated the effectiveness of patient education in improving knowledge and wound-care adherence among individuals with diabetic gangrene and related diabetic foot conditions and identified delivery features most likely to support sustained self-care. Methodology: A systematic literature review was conducted across PubMed, CINAHL, Scopus, and Google Scholar (2015–2025) using PRISMA-consistent screening. Eligible evidence included primary quantitative/qualitative studies, systematic reviews, and clinical guidelines addressing patient education/health promotion with knowledge and/or adherence outcomes. Primary studies were appraised using the JBI critical appraisal checklist. Findings: Patient education was consistently associated with improved diabetic foot-care knowledge and, in several studies, better wound-care adherence. Interactive and audiovisual approaches (e.g., video, counseling with demonstration) tended to outperform passive print materials. Sustained adherence was more strongly supported when education was reinforced through mHealth/reminders and when family/caregiver involvement addressed motivational and practical barriers. Implications: Diabetic wound-care programs should emphasize structured, skills-based and audiovisual education, reinforced through follow-up or digital supports, and integrate family-centered components to improve long-term adherence and reduce progression to severe complications. Originality: This review clarifies which educational features modality, reinforcement, and social support are most plausibly linked to sustained adherence, providing a practical framework for designing scalable education strategies for diabetic foot disease, including diabetic gangrene.
CASE REPORT: CHRONIC SUPPURATIVE OTITIS MEDIA BILATERAL
Chronic Suppurative Otitis Media (CSOM) is a persistent middle ear infection characterized by tympanic membrane perforation and prolonged or recurrent ear discharge lasting more than two months. Objective: This case report aims to analyze the clinical presentation and management approach in a patient with CSOM, as well as to evaluate the success of type II endoscopic tympanoplasty in repairing tympanic membrane perforation and restoring hearing function. Methodology: This case study utilized a qualitative approach, collecting data through physical examination, audiometric testing, and CT imaging to assess the condition of the patient's ears. The patient underwent type II endoscopic tympanoplasty on the right ear. Findings: A 52-year-old female patient presented with bilateral ear discharge for two months, mild conductive hearing loss in the right ear (39 dB threshold), and normal hearing in the left ear (24 dB threshold) with slight reductions at frequencies ≤1000 Hz and ≥4000 Hz. CT imaging revealed mucosal thickening in the Prussak space and bilateral mastoid air cells with sclerotic edges, with no cholesteatoma detected. After type II endoscopic tympanoplasty, the patient showed significant improvement, with the cessation of ear discharge and no major complications. Implications: This case highlights the importance of early diagnosis and timely intervention in managing CSOM, demonstrating that type II endoscopic tympanoplasty is an effective, minimally invasive surgical option to repair tympanic membrane perforations and prevent further complications, such as more severe hearing loss. Novelty and Contribution: This case report provides a new contribution to the management of safe type CSOM, emphasizing the success of type II endoscopic tympanoplasty as a less invasive surgical alternative to traditional methods, especially for patients with mild conductive hearing loss and recurrent ear infections.
The Relationship Between Occupational Safety and Health Management and Workplace Accidents in the Laboratory at Wahidin Sudirohusodo General Hospital, Makassar
Clinical laboratory services are crucial for public health, requiring adequate facilities, modern technology, and well-trained personnel to meet safety standards. In line with the Indonesian Minister of Health Regulation No. 66 of 2016, Occupational Safety and Health (OSH) systems are essential to safeguard hospital staff, patients, visitors, and the environment by preventing accidents and illnesses. Objective: This study aims to investigate the relationship between Occupational Safety and Health Management components (K3 Promotion, Training, Supervision, Investigation, Reporting) and workplace accidents in the laboratory at Dr. Wahidin Sudirohusodo General Hospital, Makassar. Methodology: A descriptive analytical approach with a cross-sectional design was used, involving 110 laboratory staff selected through total sampling. Data were collected using structured questionnaires and analyzed with the Chi-Square statistical test. Findings: A significant relationship was found between Training and workplace accidents (ρ = 0.041), while K3 Promotion (ρ = 0.141), Supervision (ρ = 0.153), Investigation (ρ = 0.575), and Reporting (ρ = 0.078) did not show significant associations. Implications: This study emphasizes the need to re-socialize OSH practices to all hospital staff, highlighting that work accidents should include all incidents, not just needle-stick injuries, and must be reported for preventive measures. Originality: This research offers new insights into the importance of training in improving OSH outcomes in hospital laboratories, providing valuable guidance for optimizing OSH management in healthcare settings.
Antidiabetic Effectiveness of Ethanol Extract from Sweet Mango Leaves (Mangifera indica L. var. Arum Manis) on Blood Glucose Levels in Streptozotocin-Induced Male Mice (Mus musculus L.)
Diabetes mellitus (DM) is a growing public health concern worldwide, particularly in Indonesia, where its prevalence continues to rise, causing significant health and economic burdens. The need for effective, accessible, and safe therapies is critical, as current treatments often come with side effects and limitations. Alternative natural treatments, such as herbal remedies, are being explored for their potential to offer safer and more sustainable options for managing DM. Objective: This study aims to evaluate the antidiabetic effectiveness of ethanol extract of sweet mango leaves (Mangifera indica L. var. sweet mango) on reducing blood glucose levels in streptozotocin (STZ)-induced diabetic mice. Methodology: A true experimental post-test only control group design was employed using mice (Mus musculus) divided into six groups: normal control, negative control (STZ), positive control (glibenclamide), and three treatment groups of mango leaf extract with doses of 50, 100, and 150 mg/kgBW. The extraction was carried out using the maceration method with 70% ethanol, and the antidiabetic activity was tested over a 15-day period. Results: The results showed that administration of ethanol extract of sweet mango leaves significantly reduced blood glucose levels (p < 0.001) compared to the negative control. A dose-response pattern was observed, with a dose of 150 mg/kgBW providing the most significant blood glucose lowering effect, closely approaching the effectiveness of glibenclamide. Discussion: The antidiabetic activity of the extract is thought to be related to its bioactive compounds, such as flavonoids, phenolics, and mangiferin, which are believed to enhance insulin sensitivity, inhibit gluconeogenesis, and protect pancreatic β cells from oxidative stress. Originality and Contribution: This study provides new insights into the antidiabetic potential of the ethanol extract of sweet mango leaves (Mangifera indica var. Arum Manis), a variety not extensively studied for its effects on diabetes. The research contributes to the growing body of knowledge on natural-based therapies for DM, offering an alternative to conventional treatments with potentially fewer side effects and wider accessibility. The findings support the further development of mango leaf extract as a natural candidate for diabetes management.
The Correlation Between Online Game Addiction and Learning Motivation of Class VII Students at Mts Negeri 1 South Jakarta
Online gaming has become increasingly popular among adolescents, and its interactive features may encourage prolonged use that can develop into gaming addiction, potentially disrupting academic engagement and reducing learning motivation. Objective: This study aims to examine the relationship between online game addiction and students’ learning motivation among grade 7 students at MTs Negeri 1 South Jakarta. Methodology: This research employed a quantitative cross-sectional design. Data were collected from grade 7 students at MTs Negeri 1 South Jakarta and analyzed using the chi-square statistical test to assess the association between online game addiction and learning motivation. Findings: The results showed a statistically significant relationship between online game addiction and learning motivation (p = 0.001 < 0.05), indicating that higher levels of online game addiction are associated with lower learning motivation. Implications: These findings suggest the importance of school-based educational interventions and awareness programs involving students, parents, and educators to prevent excessive gaming and to support students’ academic motivation. Originality: This study provides empirical evidence in an Indonesian junior secondary school context, offering practical insights for designing targeted prevention strategies and supporting further research on behavioral factors influencing learning motivation.
Dietary Knowledge and Physical Activity Level as Correlates of Excess Weight Categories Among Grade VIII Students: A Cross-Sectional Study at SMPN 271 Jakarta
Adolescent overweight is increasing in many low- and middle-income settings and is shaped by diet-related knowledge, daily activity patterns, and the school environment. Objective: This study aimed to examine the association between students’ dietary knowledge and physical activity level with excess weight categories among Grade VIII students at SMPN 271 Jakarta in 2024. Methodology: A quantitative cross-sectional analytic study was conducted among 183 Grade VIII students selected using stratified random sampling. Dietary knowledge was measured using a validated 11-item questionnaire (Cronbach’s alpha = 0.931) and categorized as good, moderate, or poor. Physical activity was assessed using the WHO Global Physical Activity Questionnaire (GPAQ) and categorized into low or moderate levels. Associations between dietary knowledge and excess weight categories, and between physical activity and excess weight categories, were tested using the chi-square test (p < 0.05). Findings: Almost half of students had good dietary knowledge (48.1%), while most reported low physical activity (89.1%). Dietary knowledge level was significantly associated with excess weight category (p = 0.004), and physical activity level was also significantly associated with excess weight category (p = 0.004). Implications: The findings support integrated school-based interventions that combine nutrition education with strategies to increase daily physical activity and reduce sedentary routines, including optimizing the school food environment and expanding opportunities for active breaks and extracurricular activities. Originality: This study provides context-specific evidence from an urban junior high school in Jakarta by assessing dietary knowledge and physical activity concurrently in relation to excess weight categories, offering practical insights for designing comprehensive school health programs targeting adolescents.
Overview of Postpartum Mothers' Knowledge of Proper Breastfeeding Techniques through WhatsApp-Based Education in Makassar City
Breastfeeding success in the early postpartum period is strongly influenced by mothers’ knowledge of correct breastfeeding techniques, yet education delivered in health facilities is often brief and may not provide sufficient reinforcement. Widely used messaging platforms such as WhatsApp offer an opportunity to deliver flexible, repeatable, and accessible breastfeeding education, particularly in urban settings like Makassar City. Objective: This study aimed to describe postpartum mothers’ knowledge of correct breastfeeding techniques after receiving WhatsApp-based education in Makassar City. Methodology: A quantitative descriptive design with a pretest–posttest format was employed. Forty postpartum mothers were recruited through purposive sampling based on inclusion criteria. Educational materials (text, images, and videos) were delivered via WhatsApp, and knowledge was measured using a structured questionnaire administered before and after the education. Data were analyzed descriptively by comparing pretest and posttest mean scores across four domains: breastfeeding position, latch-on technique, signs of adequate breast milk intake, and management of common breastfeeding problems. Findings: Postpartum mothers’ knowledge increased markedly after the intervention. The mean score rose from 54.10 at pretest to 86.80 at posttest, and all knowledge domains showed consistent improvement. WhatsApp functioned effectively as an educational medium due to its accessibility, flexibility, and capacity to support repeated learning. Implications: WhatsApp-based education can be considered for integration into routine postpartum health services to strengthen breastfeeding literacy and complement facility-based counseling, especially in urban contexts. Originality: This study provides technique-domain–specific evidence on WhatsApp-delivered breastfeeding education among postpartum mothers in an urban Indonesian setting, offering a practical and scalable model for postpartum breastfeeding support.
Occupational Safety Risk Analysis in Printing Area using JSA
Printing workplaces involve diverse operational activities that may pose occupational safety and health (OSH) risks to workers. Objective: This study aims to identify potential hazards and assess occupational risk levels in a printing facility using the Job Safety Analysis (JSA) method, considering that printing, cutting, ink handling, and manual material handling activities may lead to work-related injuries and health disorders. Methodology: A descriptive observational approach was employed. Data were collected through direct workplace observations, interviews with workers and supervisors, and a review of work process documentation. The JSA procedure involved breaking down work activities into sequential steps, identifying hazards at each stage, and determining risk levels along with appropriate control measures. Findings: The results revealed exposure to mechanical, chemical, physical, and ergonomic hazards. Mechanical hazards were predominantly associated with printing and cutting machine operations, posing risks of hand injuries and crushing incidents. Chemical hazards were identified during ink handling activities, with potential health effects from skin contact and inhalation exposure. Ergonomic hazards were mainly observed during manual material handling tasks, increasing the risk of musculoskeletal disorders. Several identified hazards were classified as medium to high risk, indicating the need for prioritized preventive actions. Implications: The findings highlight the importance of implementing integrated OSH control measures, including engineering controls, administrative actions, consistent use of personal protective equipment, and the strengthening of workplace safety culture to reduce occupational risks in printing environments. Originality: This study provides a systematic, task-based hazard mapping of core printing processes using JSA, offering practical guidance for prioritizing risk control strategies in printing operations with medium to high risk levels.
Fear of Missing Out as a Psychological Predictor of Problematic Internet Use in Emerging Adults: A Cross-Sectional Study
Excessive internet engagement has become increasingly common among young people and may develop into problematic internet use (PIU) that interferes with daily functioning. In emerging adulthood, the pressure to remain socially connected online can intensify fear of missing out (FoMO), which may undermine self-regulation and increase vulnerability to PIU. Objective: This study aims to empirically examine the effect of FoMO on PIU among individuals in the emerging adulthood stage. Methodology: A quantitative cross-sectional survey design was applied using purposive sampling. A total of 203 participants aged 18–29 years completed an online questionnaire (Google Forms). PIU was measured using an instrument based on Caplan’s (2010) dimensions, and FoMO was assessed using a scale based on Przybylski, Murayama, DeHaan, and Gladwell’s (2013) dimensions. Data were analyzed using simple linear regression. Findings: FoMO significantly and positively predicted PIU (F = 125.532; p < 0.05; R = 0.620; R² = 0.384). FoMO explained 38.4% of the variance in PIU, while the remaining 61.6% may be attributable to factors outside the model. Implications: The findings support the need for digital literacy initiatives and interventions targeting emotion regulation and self-control among emerging adults to reduce PIU risk. Future studies should incorporate additional psychosocial factors (e.g., depression, loneliness, social anxiety, and shyness) to better explain PIU and clarify underlying mechanisms. Originality: This study provides empirical evidence quantifying the contribution of FoMO to PIU specifically within an emerging adulthood sample characterized by intensive internet use, offering added value for prevention-oriented research and practice in digital mental health.
The Effect of Young Coconut Water on Blood Pressure in Middle-Aged Adults (45–59 Years) with Hypertension in RT005/RW012, Taman Mangu Indah Residential Area, South Tangerang
Hypertension is a leading contributor to cardiovascular morbidity and mortality and is often undetected until complications occur. Community-friendly, affordable non-pharmacological approaches are therefore needed to support blood pressure control alongside standard therapy. Objective: This study aimed to examine the effect of young coconut water on blood pressure among middle-aged adults (45–59 years) with hypertension in RT005/RW012, Taman Mangu Indah Residential Area, South Tangerang. Methodology: This quantitative study used a quasi-experimental pretest–posttest design without a control group. A total of 21 participants received young coconut water (250 cc) twice daily (morning and afternoon) for five consecutive days. Blood pressure was measured before and after the intervention using a calibrated sphygmomanometer, and changes were analyzed using paired t-tests. Findings: Young coconut water consumption was associated with significant reductions in both systolic and diastolic blood pressure. Morning measurements showed decreases from 150.71 to 140.95 mmHg (systolic) and from 96.19 to 90.48 mmHg (diastolic) (p = 0.001). Afternoon measurements decreased from 145.24 to 132.86 mmHg (systolic) and from 96.19 to 85.24 mmHg (diastolic) (p = 0.001). The afternoon reductions appeared greater than those observed in the morning. Implications: Young coconut water may serve as an accessible, low-cost complementary nursing intervention to support community-based hypertension management. The findings may inform community health education and practical programs to improve blood pressure control among middle-aged adults. Originality: This study provides neighborhood-based evidence using a feasible twice-daily regimen over five days and highlights potential differences in blood pressure reduction between morning and afternoon administrations, offering implementation-oriented insight for community nursing practice.
The Relationship Between Milk Bottle Hygiene and the Incidence of Diarrhea in Infants Aged 0-6 Months: A Study in Gajahan Health Center, Surakarta
Diarrheal disease remains a significant cause of infant morbidity and mortality worldwide, particularly in developing countries like Indonesia. This study examines the relationship between milk bottle hygiene and the incidence of diarrhea in infants aged 0-6 months in Surakarta, Indonesia, with the goal of highlighting the importance of proper bottle sanitation in reducing diarrhea risk. Objective: The objective of this study is to analyze the relationship between milk bottle hygiene and the incidence of diarrhea in infants aged 0-6 months. The study aims to provide insights into the role of bottle sanitation in preventing gastrointestinal infections in infants. Methodology: This research employed a quantitative, analytic observational approach using a cross-sectional study design. The population consisted of 50 infants who met specific inclusion and exclusion criteria. Data were collected through structured questionnaires, and chi-square tests were used for statistical analysis to assess the relationship between milk bottle hygiene and diarrhea incidence. Findings: The study found a significant relationship between poor milk bottle hygiene and an increased incidence of diarrhea in infants (p-value < 0.05). The findings indicate that inadequate bottle cleaning practices contribute to gastrointestinal infections in infants, reinforcing the importance of proper hygiene in preventing diarrhea. Implications: The findings highlight the need for targeted public health interventions to educate mothers and caregivers on proper milk bottle sanitation. Implementing simple hygiene practices could significantly reduce the risk of diarrhea and other preventable gastrointestinal diseases in infants, particularly in resource-limited settings. Originality: This study offers original contributions by focusing on milk bottle hygiene as a key factor influencing diarrhea incidence in infants, an area that has been largely underexplored in previous research. The study provides valuable insights that could inform policies and interventions aimed at improving infant health and preventing diarrheal diseases.
Patient Safety, Service Quality, and Service Excellence as Predictors of Patient Satisfaction: A Study of Student Perceptions at STIKes Widya Husada Tangerang
This study investigates the effects of patient safety, service quality, and service excellence on patient satisfaction from the perspective of students at STIKes Widya Dharma Husada Tangerang. The study is important because student perceptions provide an early indicator of service performance and can inform continuous quality improvement in healthcare facilities. Methodology: A quantitative design was applied using survey data collected through structured questionnaires. The data were analyzed using multiple linear regression, supported by partial t-tests and a simultaneous F-test to examine both individual and joint effects of the independent variables on patient satisfaction. Findings: The results indicate that patient safety has a positive and significant effect on patient satisfaction (t = 2.123; p = 0.038). Service quality also shows a positive and significant effect (t = 3.979; p = 0.032). Service excellence demonstrates a positive and significant influence on patient satisfaction (t = 3.860; p = 0.000). Simultaneously, patient safety, service quality, and service excellence significantly affect patient satisfaction (F = 71.507; p = 0.000), confirming that these factors collectively contribute to improved satisfaction outcomes. Implications: The findings suggest that healthcare providers should implement integrated improvement strategies by strengthening patient safety practices, enhancing service quality dimensions, and institutionalizing service excellence standards to increase patient satisfaction. These results can support managerial decision-making in quality assurance programs and service delivery evaluation. Originality: This study contributes by empirically testing an integrated model that combines patient safety, service quality, and service excellence as simultaneous predictors of patient satisfaction within a student-based perception setting, offering a practical evidence base for targeted service improvement in Indonesian healthcare contexts.
Healthcare Experience Satisfaction among Generation Z: Quality, Procedures, and Information Access
User satisfaction is a critical indicator for evaluating the performance of healthcare facilities, particularly as public expectations increasingly emphasize service quality, clear procedures, and accessible information. However, evidence on how these factors jointly shape satisfaction in healthcare settings remains important to clarify. Objective: This study aims to analyze the influence of service quality, service delivery procedures, and ease of access to information on satisfaction with the experience of using healthcare facilities. Methods: A quantitative survey approach was employed. Data were collected through questionnaires from 60 respondents who had previously used healthcare facilities. The data were analyzed using descriptive statistics and multiple linear regression to examine both partial and simultaneous effects among variables. Findings: The results show that service quality has a positive and significant effect on satisfaction (t = 3.075; p = 0.003). Service delivery procedures also have a positive and significant effect (t = 3.886; p = 0.002). In addition, ease of access to information has a positive and significant effect on satisfaction (t = 3.718; p = 0.000). Simultaneously, the three variables significantly influence satisfaction (F = 43.964; p = 0.000). Implications: These findings suggest that healthcare facilities can enhance user satisfaction by strengthening service quality, improving and standardizing service procedures, and ensuring information systems are clear, responsive, and easy to access supporting practical improvements in service management and information governance. Originality: This study contributes empirically by integrating service quality, service procedures, and information accessibility within a single model to explain user satisfaction in healthcare facilities, providing added value for user-oriented service improvement initiatives.