Proceedings Series on Health & Medical Sciences
The Proceedings Series on Health & Medical Sciences aims to publish proceedings from conferences on the scope health and medical sciences. Read full Aims & Scope Indexed: Google Scholar, Crossref, Garuda, Dimensions, Copernicus ISSN: 2808-1021
Overview of Parental Stimulation on Language Development in Toddler
This study aims to understand the overview of parental stimulation on the language development of toddlers in Majatengah Village, Purbalingga Regency. Stimulation is provided by parents, caregivers, or others close to the child, such as family members and the surrounding environment in daily life. Language development begins in infancy, relying on experiences, language acquisition, and growth, progressing systematically as the child ages. Using a quantitative, descriptive research method with a survey approach, the study provides insights into parental stimulation related to language development in toddlers. The results indicate that the language development of toddlers in Majatengah Village is generally good. A good educational background appears to influence parents' understanding of the importance of language stimulation in child development.
The Relationship Between Effective Communication Between Nurses and the Implementation of Patient Discharge Planning in the ASOKA Ward of Prof. Dr. Margono Soekarjo Purwokerto Regional General Hospital
Background: Communication is a key effort to alter patient behavior, closely tied to health and care. Data from Asoka Ward at RSUD (Regional Public Hospital) Prof. DR. Margono Soekarjo in 2023 shows a total of 1,128 patients admitted. Observations in Asoka Ward indicate that nurse communication is still lacking in the implementation of discharge planning. This is evidenced by the incomplete conveyance of the discharge planning process to patients. Interviews with 20 patients in Asoka Ward revealed that only 4 (four) patients were aware of the discharge planning procedures at the hospital. Objective: To investigate the correlation between effective nurse communication and the implementation of discharge planning in Asoka Ward at RSUD Prof. DR. Margono Soekarjo, Purwokerto. Method: This study employed a correlational quantitative method with a cross-sectional approach. The population consisted of inpatients in Asoka Ward from January to December 2023. Using the Lemeshow formula, a sample of 97 respondents was determined. Results: The variables of communication and discharge planning in the "very good" category had the highest percentage, at 27.8%. The lowest value was observed in the very good communication category with fairly good discharge planning. The chi-square test results showed a p-value of 0.000. Conclusion: There is significant correlation between effective communication and the implementation of discharge planning.
Kompas (Komunitas Posyandu Arisan Sehat) sebagai Upaya Pemberdayaan Masyarakat di Posyandu Turi Berkah, Samarinda
Posyandu Turi Berkah menghadapi tantangan rendahnya kunjungan balita, dengan persentase kunjungan (D/S) selama tiga bulan terakhir tidak mencapai standar pelayanan minimal 80%. Rendahnya partisipasi disebabkan oleh kurangnya minat ibu balita akibat keterbatasan fasilitas, pengetahuan, dan layanan kesehatan. Penelitian ini bertujuan mengembangkan program KOMPAS (Komunitas Posyandu Arisan Sehat) untuk meningkatkan partisipasi dan kesadaran ibu balita dalam kegiatan posyandu. Penelitian dilakukan melalui Focus Group Discussion (FGD) dengan kader dan ibu balita, serta implementasi program KOMPAS yang menggabungkan kegiatan arisan dan edukasi kesehatan. Implementasi program KOMPAS menunjukkan peningkatan kunjungan posyandu dari 23 kunjungan di Oktober menjadi 27 kunjungan di November. Program ini berhasil menciptakan platform interaktif untuk pertukaran informasi kesehatan dan memotivasi partisipasi ibu balita. Program KOMPAS terbukti efektif meningkatkan minat dan partisipasi ibu balita dalam kegiatan posyandu melalui pendekatan inovatif kombinasi arisan dan edukasi kesehatan.
Synthesis of Gold Nanoparticles Using Pegagan Leaf Extract as Reductor and Tyrosinase Enzyme Inhibitor Activity Test
Introduction: Nanoparticles ranging from 1-100 nm in diameter can be synthesized using green synthesis methods, which utilize environmentally friendly, non-toxic, economical, and easily manageable resources to promote sustainable nanotechnology development. Pegagan contains saponins, triterpenoids, flavonoids, and tannins that serve as antioxidants for the skin, offering anti-inflammatory and anti-aging benefits. This study aims to synthesize and characterize gold nanoparticles using pegagan leaf extract, and evaluate its potential as an inhibitor of the tyrosinase enzyme involved in melanin formation in human skin. Methods: Synthesis was conducted by mixing HAuCl4 at a concentration of 2 mM with liquid extract of pegagan leaves. The synthesized products were characterized using UV-Vis spectrophotometer, spectrofluorometer, and Particle Size Analyzer to observe the characteristics of the formed nanoparticles. Additionally, the inhibition activity of the tyrosinase enzyme was tested using a microplate reader at a maximum wavelength of 490 nm. Results: During the synthesis of gold nanoparticles, there was a color change in the solution from yellow to purple. Measurements using UV-Vis spectrophotometer showed a spectrum with a peak wavelength at 533 nm, but no fluorescence was observed. Gold nanoparticles measured using PSA ranged in size from 24.36 to 91.28 nm. The inhibition activity test of the CA-AuNPs solution yielded an IC50 of -2,286.202 µg/ml, while the positive control solution using kojic acid showed an IC50 of 31.615 µg/ml. Conclusion: Gold nanoparticles can be synthesized using pegagan extract as a reducer, but they do not exhibit potential as inhibitors of the tyrosinase enzyme.
Differences in Platelet Counts in K2edta Blood Samples with Varying Volumes Using a Hematology Analyzer
Background: Platelet count examination is an essential hematological test that requires proper anticoagulant usage to prevent blood coagulation. The accuracy of platelet measurement is influenced by the proportion of anticoagulant and blood volume. Method: This study used an observational cross-sectional design conducted at the Clinical Laboratory of Universitas Muhammadiyah Purwokerto. A total of 15 samples were obtained using purposive sampling. Platelet counts were measured using a hematology analyzer with three blood volume variations (0.5 mL, 1 mL, and 3 mL). Data were analyzed using normality tests and one-way ANOVA. Results: The mean platelet counts for 0.5 mL, 1 mL, and 3 mL samples were 23486.67, 24986.67, and 25206.67, respectively. Statistical analysis showed no significant difference (p = 0.375; p > 0.05). Conclusion: Variations in blood sample volume in K2EDTA tubes do not significantly affect platelet count results when measured using a hematology analyzer.
Completeness of Medical Record Files and The Timeliness of BPJS Claims on Inpatients with Bronchitis at Islamic Hospital Purwokerto
Background: One of the crucial determinants of the quality of medical services provided by hospitals is the availability of adequate and complete data or information concerning medical records, which significantly impacts the submission of BPJS claims. Method: This research utilizes a quantitative approach with a descriptive research design, employing a cross-sectional data collection method. Results: The completeness of medical records for inpatients with bronchitis, categorized into indicators such as Participant Eligibility Letter (SEP), supporting examinations, the accuracy of codes, and inpatient billing resumes, was complete for 75 (100%) cases. Medical summaries were categorized as complete for 34 (45.33%) cases and incomplete for 41 (54.67%) cases. The indicator of inpatient admission orders was complete for 6 (8%) cases and incomplete for 69 (92%) cases. The timeliness of BPJS inpatient claims was categorized as timely for 49 (65.33%) cases and untimely for 26 (34.67%) cases. Conclusion: The completeness of medical records significantly affects the timeliness of BPJS claims, where incomplete documentation, particularly in medical resumes and inpatient admission orders, contributes to delays in claim submission.
Experiences of Mothers in the Implementation of Breast Pump Use for Breast Health in Somawangi Village, Mandiraja, Banjarnegara
The use of breast pumps plays a crucial role in supporting breastfeeding, especially for working mothers or those facing challenges with direct breastfeeding. However, the effectiveness of breast pump use and its impact on breast health in rural areas remains under-researched. A qualitative descriptive approach was used, involving in-depth interviews with 15 mothers who have used breast pumps. Thematic analysis was performed to identify key themes regarding the experiences of the participants. The results indicated that most mothers had positive experiences with breast pumps, reporting convenience and improved milk expression. However, challenges such as discomfort, lack of knowledge, and improper usage were identified. The study found that breast pump use improved breast health for many mothers, but improper use could lead to breast tissue damage. Breast pump use can be beneficial for supporting breastfeeding and improving breast health. However, it is essential to provide proper education and support to ensure its correct use. Programs aimed at enhancing breastfeeding knowledge and supporting breast pump use should be implemented in rural areas.
Formulation and Evaluation of Spray Gel Fraction of Ethyl Acetate of Purslane Leaves (Portualaca Olercea.L) as an Anti-inflammatory in Wistar Rats
The Pharmacy Study Program is an academic program that prepares students to become pharmacists, focusing on the study of medications, their effects, and the safe and effective practice of dispensing them. This program includes courses in Pharmaceutical Sciences, where students learn about drug development, formulation, and delivery; Pharmacology, which studies how drugs interact with the body; Pharmacy Practice, training students in patient interactions, medication counseling, and pharmacy management; Clinical Pharmacy, where students work with healthcare teams to optimize medication therapy; and Pharmaceutical Chemistry, focusing on the chemical properties and synthesis of drugs. Upon graduation, typically with a Bachelor of Pharmacy or PharmD degree, students are qualified to work in hospitals, clinics, and community pharmacies, ensuring the safe and effective use of medications.
The Relationship Between Maternal Characteristics and Compliance with Iron Tablet Consumption and the Incidence of Anemia in Third-Trimester Pregnant Women at Puskesmas Purwojati in 2023
Pregnancy-related anemia is a common condition that can lead to increased morbidity and mortality for both mothers and their infants. Anemia in pregnancy is often influenced by non-compliance with iron supplementation. The prevalence of anemia in pregnant women in Banyumas Regency was 17.09% in 2022, with Puskesmas Purwojati showing a higher prevalence of 25.34%. This study used a cross-sectional design with a quantitative approach. A total of 61 third-trimester pregnant women attending antenatal care at Puskesmas Purwojati were selected through purposive sampling. Data were collected using medical records and Maternal and Child Health (MCH) books. The incidence of anemia was defined as hemoglobin levels below 11 g/dl. Descriptive and inferential statistics, including Chi-square tests, were used for data analysis. The majority of participants were in the reproductive age group (91.8%) and employed (50.8%). A significant portion (55.7%) did not comply with the iron tablet regimen. The incidence of anemia was 28.6%. Significant relationships were found between maternal characteristics (age, parity, occupation) and anemia (p<0.05). Non-compliance with iron tablet consumption was strongly associated with anemia (p=0.000). Maternal characteristics such as age, parity, and occupation, along with non-compliance with iron supplementation, significantly contribute to the incidence of anemia in third-trimester pregnant women. Interventions aimed at improving compliance with iron supplementation, especially among high-risk groups, are essential to reducing anemia prevalence.
An Overview of the use of Electronic Medical Records in Outpatient Services at JIH Purwokerto Hospital
Electronic Medical Records (EMRs), which utilize digital technology, have been implemented in several hospitals in Indonesia and offer advantages such as easier retrieval of patient data and medical history, improved time efficiency, greater effectiveness, and enhanced data security. This study aimed to describe the use of EMRs in outpatient services at JIH Purwokerto Hospital. The research employed a descriptive qualitative design using interview methods to collect data. The findings indicated that, in terms of task implementation, staff performance was considered good and effective in supporting the application of EMRs in outpatient services. From the program planning perspective, the EMR system had been successfully implemented and continuously developed with updated features. Regarding regulations and programs, the hospital had established Standard Operating Procedures (SOPs) for electronic medical records as well as policies to ensure the confidentiality of medical record data. In terms of benefits, ideal conditions, and obstacles, the implementation of EMRs provided significant advantages for users; however, the ideal implementation had not been fully achieved due to several existing challenges.
The Effect of Aplikasi Edukasi Patuh Pakai Insulin (Aksi Patas) on Insulin Use Compliance and Glycemic Control in Diabetes Mellitus Patients at Prof. Dr. Margono Soekarjo Regional General Hospital
Background: Diabetes mellitus is a chronic disease that requires lifelong management. Patient compliance in using insulin and good glycemic control are important factors in the management of diabetes mellitus. Low patient compliance and knowledge about insulin use are frequent problems. Objective: This study aims to determine the effect of obedient insulin education application (AKSI PATAS) on compliance with insulin use and glycemic control in patients with type 2 diabetes mellitus. Methods: This study is a pre-experimental study with a pre-test and post-test without control group design. The study sample was 18 patients with type 2 diabetes mellitus at Prof. Dr. Margono Soekarjo Purwokerto Hospital who were selected by purposive sampling. Data collection was done by questionnaire and examination of glycemic levels. Data analysis used paired t-test and Wilcoxon test. Results: There was a significant increase in family support, compliance with insulin use, and glycemic control after being given the AKSI PATAS educational application intervention (p<0.05). Conclusion: AKSI PATAS educational application has an effect in improving family support, compliance with insulin use, and glycemic control in patients with type 2 diabetes mellitus.
The Correlation Between Mothers' Knowledge of Developmental Monitoring in the KIA Book and the Developmentof Children Aged 3-4 Years in Bajing Village, Service Area of Puskesmas Kroya I, 2024
The book of Kesehatan Ibu dan Anak (KIA) or Maternal and Child Health (MCH) is a strategy to empower families to receive quality maternal and child health services. Mothers' knowledge plays an important role in using the MCH book to support child development. This study aims to analyze the correlation between mothers' knowledge of developmental monitoring in the KIA book and child development. The research design used a descriptive correlational approach with a cross-sectional method. The sample consisted of 51 respondents who were mothers with toddlers meeting the inclusion criteria. Data were collected through questionnaires to assess mothers' knowledge and child development. Univariate analysis showed that 35 mothers (68.6%) had adequate knowledge in utilizing the KIA book, and 70.6% of children experienced age-appropriate development. Bivariate analysisusing the chi-square correlation test revealed a p-value of 0.028 (sig. 0.05), indicating a significant correlation between mothers' knowledge of developmental monitoring in the KIA book and child development.
An Overview of Mothers' Knowledge and Skills in Administering Tepid Water Sponge to Hyperthermic Children in Kalikidang Village
Background: Hyperthermia is an increase in body temperature that can be caused by hormonal disturbances, metabolic disorders, drug use, increased environmental temperature, or exposure to external heat, leading to an imbalance between heat production and heat loss in the body. Tepid Water Sponge is a procedure aimed at enhancing heat loss control through evaporation and conduction in individuals experiencing high fever. Method: This research employs a descriptive explanatory method with a total of 40 mothers as respondents. Data collection was conducted using a knowledge questionnaire and an observation sheet for skills assessment. Results: The study revealed that 63.4% of mothers had good knowledge, and 34.1% had adequate knowledge. Regarding tepid water sponge skills, 26.8% of mothers demonstrated a good understanding of the technique, 65.9% had adequate skills, and 4.9% had poor skills. Conclusion: Mothers' knowledge about tepid water sponge is generally good, although there are still a few (two mothers) who lack sufficient skills.
The Effects of CAR (Choking Alert Response) Educational Video on Mothers' Knowledge and Skills in Responding to Choking in Toddlers
Background: Choking is an emergency condition caused by airway obstruction due to a foreign object and poses a serious risk to toddlers. Mothers’ knowledge and skills in managing choking incidents are essential to prevent severe complications. Health education using engaging educational videos can be an effective intervention, as video media enables rapid and memorable information delivery, helping mothers become more prepared and competent in handling choking situations. Method: This quantitative study employed a pre-experimental one-group pretest-posttest design. A total of 57 respondents were selected using non-probability incidental sampling. Instruments included a respondent characteristics questionnaire, a choking knowledge questionnaire, and a skills observation checklist. The intervention consisted of the CAR educational video, and data were analyzed using the Wilcoxon test. Results: The mean age of respondents was 27.75 years. Most participants were housewives (50.9%) and had junior high school education (36.8%). The mean knowledge score increased from 11.00 before the intervention to 19.00 after the intervention. The mean skills score improved from 9.00 to 15.00. Statistical analysis showed a significant effect of the CAR educational video on mothers’ knowledge and skills (p = 0.001). Conclusion: The CAR educational video effectively improved mothers’ knowledge and skills in managing choking incidents among toddlers.
Accuracy Testing of the MAX30100 Sensor Using the Contec MS100 SpO2 Simulator
The accuracy of pulse oximeters is critical for reliable health monitoring. The MAX30100 sensor is widely used in wearable devices to measure SpO2 and pulse rate. However, its accuracy needs to be assessed against reliable standard devices. The Contec MS100 simulator is used as a benchmark to evaluate the performance of such sensors. A descriptive quantitative study was conducted with a sample of 347 participants. Data were collected from both the MAX30100 sensor and the Contec MS100 simulator to measure SpO2 and pulse rate. The Bland-Altman method and Kruskal-Wallis test were used for statistical analysis to assess the accuracy and agreement between the two devices. The study found that the MAX30100 sensor provided reliable measurements for both SpO2 and pulse rate. The mean difference between the MAX30100 and Contec MS100 was 0.45% for SpO2 and 0.5 bpm for pulse rate. The Bland-Altman analysis showed acceptable limits of agreement for both parameters. However, minor discrepancies were observed. The study found that the MAX30100 sensor provided reliable measurements for both SpO2 and pulse rate. The mean difference between the MAX30100 and Contec MS100 was 0.45% for SpO2 and 0.5 bpm for pulse rate. The Bland-Altman analysis showed acceptable limits of agreement for both parameters. However, minor discrepancies were observed.
Formula Optimization and Evaluation of Synconine Ointment as an Anti-Acne
Acne is a common skin problem that occurs among teenagers and adults, often caused by bacterial activity on facial skin that becomes blocked due to the accumulation of oil and dirt. Cutibacterium acnes is one of the bacteria that can infect the skin and trigger acne formation. Synconine is an alkaloid compound that has been proven to inhibit the activity of gram-positive bacteria; therefore, it was formulated into an ointment preparation. An important component in ointment formulations is the base, which functions as a carrier to deliver the drug to its site of action and achieve the desired pharmacological effect. This study aimed to optimize the PEG 400 and PEG 4000 bases in synconine ointment formulations. The optimum concentration was determined using the disc diffusion method for antibacterial activity testing, while formula optimization was carried out using Design Expert® software version 13 with the Simplex Lattice Design method. The results showed that the optimum concentration obtained was 1.5%, producing an inhibition zone of 13.26 mm, which falls into the moderate category (10–15 mm). The optimum ointment formula was achieved with a PEG 400 concentration of 30% and PEG 4000 of 60%, with a desirability value of 0.911. In conclusion, synconine compounds demonstrated potential antibacterial activity against Cutibacterium acnes, and formula optimization using the Simplex Lattice Design method with variations of PEG 400 and PEG 4000 significantly influenced viscosity, spreadability, adhesion, and pH responses of the ointment preparation.
The Effect of Steamed Raja Banana on Reducing Dysmenorrhea Intensity among Adolescent Girls at Cinta Youth Posyandu, Pegiringan Village, Bantarbolang Sub-district, Pemalang Regency
Dysmenorrhea is a common reproductive health problem among adolescent girls that may interfere with daily activities and reduce quality of life. Non-pharmacological therapy such as consuming potassium-rich foods, including steamed Raja banana, may help reduce menstrual pain. Dysmenorrhea is a common reproductive health problem among adolescent girls that may interfere with daily activities and reduce quality of life. Non-pharmacological therapy such as consuming potassium-rich foods, including steamed Raja banana, may help reduce menstrual pain. The proportion of moderate pain decreased from 22 respondents (64.71%) to 5 respondents (14.71%), and severe pain decreased from 5 respondents (14.71%) to 2 respondents (5.88%). Meanwhile, respondents reporting no pain increased from 0 to 12 (35.29%). The Wilcoxon test showed a significant reduction in dysmenorrhea intensity (p = 0.000; p < 0.05). Steamed Raja banana significantly reduces dysmenorrhea intensity among adolescent girls.
Analysis of Readiness for the Implementation of Electronic Outpatient Medical Records at Mitra Siaga Hospital, Tegal Using the DOQ-IT Approach
Electronic Medical Records (EMR) are a component of the hospital management information system (SIMRS) that is currently being developed. The complexity of the challenges in implementing EMRs necessitates a readiness assessment before they are fully implemented. This is an important step to help identify procedures, levels of importance, and to accommodate the formation of operational functions that support the optimization of EMR implementation. One of the methods that can be used to analyze the readiness for implementing information systems based on EMRs is the Doctor’s Office Quality-Information Technology (DOQ-IT) method. The implementation of EMRs at Mitra Siaga Hospital in Tegal began in April 2024, but it has not yet been fully executed. This study aims to determine the readiness for implementing outpatient EMRs at Mitra Siaga Hospital Tegal using the DOQ-IT approach. This is a descriptive quantitative study with 32 subjects, consisting of IT staff, medical record officers, doctors, and nurses. The results of the study indicate that the readiness for implementing outpatient EMRs at Mitra Siaga Hospital Tegal using the DOQ-IT approach falls into the "very ready" category. Based on the research findings, it is recommended that Mitra Siaga Hospital Tegal continue to monitor, evaluate, and periodically review the implementation of EMRs, as there may still be challenges or obstacles during the implementation process.
Analysis of Parenting Patterns and Parental Feeding Practies and Their Impact on The Nutritional Status of School-Aged Children
Background: School-age children require adequate nutritional intake to support their growth and development as they approach adolescence. Effective parenting styles and parental feeding practices help reduce the risk of nutritional disorders and support the growth and development of school-age children. This study aims to identify the relationship between parenting styles and parental feeding practices on the nutritional status of school-age children. Methodology: This quantitative study employs a cross-sectional design. The sampling technique used is total sampling, with a total of 85 students and their parents. Data analysis was conducted using the Spearman Rank test. Results: The study found that 74.1% of the children had normal nutritional status. The most common parenting style was authoritative, practiced by 74.1% of the parents. The most frequently used feeding practice was the restriction dimension to control body weight, with an average of 15.38%. There was no significant relationship between parenting styles and nutritional status (r=0.223, p0.05). However, there was a significant relationship between parental feeding practices and the nutritional status of school-age children in the dimensions of environment (r=0.005, p0.05), food as a reward (r=0.003, p0.05), modeling (r=0.004, p0.05), and restriction to control body weight (r=0.001, p0.05) at SDN 3 and 4 Pliken Kembaran Banyumas. Conclusion: Parental feeding practices play a crucial role in improving the nutritional status of school-age children, which is essential for enhancing children's health status.
Overview of Adolescent Mental Health at SMP 1 Wanasari Brebes
Adolescents are vulnerable to mental health disorders as adolescence is a transitional period from childhood to adulthood, marked by socio-physiological growth and development. Adolescence is considered a volatile and vulnerable time because adolescents undergo significant changes during this period, both physically, psychologically, and emotionally. The objective of this study was to describe the mental health of adolescents at SMP 1 Wanasari Brebes. The research method used was descriptive analytic with data collection through the SDQ questionnaire. The study sample consisted of 82 respondents from SMP 1 Wanasari Brebes, and cluster random sampling was employed. Data were analyzed using univariate analysis with frequency percentages. The overview of adolescent mental health at SMP 1 Wanasari Brebes showed that the emotional category for most respondents was within the normal range (50%), behavior was predominantly normal (49%), hyperactivity was mostly normal (82%), peer relations were mostly borderline (38%), and prosocial behavior was predominantly normal (85%). The total difficulty score was mostly in the borderline category (46%). The mental health overview of adolescents indicates a normal scale in the emotional, behavioral, hyperactivity, and prosocial categories. The borderline scale was observed in the peer relations category and total difficulty score.
Correlation Between Storage Duration and Temperature of Uht Milk and The Growth of Streptococcus Sp.
Ultra-High Temperature (UHT) milk is processed by brief exposure to extremely high temperatures (approximately 135150C) to eliminate pathogenic microorganisms and extend shelf life. Streptococcus lactis, a member of the normal microflora in milk, contributes to fermentation processes; however, once the package is opened, the milk becomes susceptible to environmental contamination. Key factors influencing the growth of Streptococcus sp. in UHT milk include storage temperature, duration of storage, and nutrient availability. This study employed a time series design and was conducted in July 2025. Sixteen UHT milk samples were stored at 4C and 25C, with bacterial isolation performed on days 0, 1, 7, and 14. Data were analyzed using a repeated measures test. The results demonstrated a statistically significant correlation between storage duration and temperature and the growth of Streptococcus sp., with a p-value of 0.000 (p 0.05). These findings indicate that prolonged storage and higher temperatures are associated with increased bacterial proliferation.
The Relationship Between Waiting Time, Anxiety Levels, and Hemodynamic Status in Preoperative Patients at Purwokerto Islamic Hospital
Background: Anxiety is an emotional response from individuals that describes a state of worry, anxiety, fear and unease accompanied by various life situations from any aspect as part of a pain disorder. Method: This research uses a correlational analytical research design, using a cross-sectional approach. The population and sample used were 56 respondents using the consecutive sampling method. The statistical test used is Spearman's rank. Results: This study shows that the majority of respondents were aged 18 – 28 years (32.1%), male (50%), completed high school/vocational school (46.4%), type of general anesthesia (50%), and type of minor surgery (100%). The results of the Spearman's rank test showed a significance value with a p value <0.05, which means that there was a significant relationship between waiting time and anxiety levels and hemodynamic status of preoperative patients during the waiting time period. Conclusion: There is a relationship between the waiting time period and the level of anxiety and hemodynamic status of preoperative patients at Purwokerto Islamic Hospital.
An Overview of Patient Responses During Hemodialysis in Chronic Kidney Disease
Background: Chronic kidney disease (CKD) is a progressive and irreversible impairment of kidney fungction, leading to the body’s inability to maintain fluid, electrolyte, and metabolic balance. Hemodialysis serves as an effective renal replacement therapy for patient with CKD; however, it may also cause adverse side effects. Method: The study employed a case study design with a descriptive approach. A total sampling technique was used, involving 12 respondents. Data collection was conducted through observation sheets and interview guides. Results: The responses observed in chronic kidney disease patients undergoing hemodialysis at RSUD Ajibarang included hypertension (91.7%), dizziness (33.3%), muscle cramps (25%), nausea (8.3%), fever (8.3%), chills (8.3%), and chest pain (8.3%). Conclusion: The most common responses experienced by hemodialysis patient at RSUD Ajibarang were hypertension, dizziness, and muscle cramps.
The Correlation Between Stress And Sleep Quality On The Menstrual Cycle Of Female Students At The Faculty Of Health Sciences, Universitas Muhammadiyah Purwokerto
The menstrual cycle plays an important role in women's reproductive health, yet many experience irregularities influenced by stress and poor sleep quality. Students, particularly female university students, often face high levels of stress due to academic pressures, which, along with inadequate sleep, contribute to menstrual cycle disturbances. A quantitative cross-sectional study was conducted with 347 female students. Data was collected through purposive sampling and analyzed using the Kruskal-Wallis test to assess the differences in stress and sleep quality levels with respect to menstrual cycle regularity. The study found that 61% of respondents with oligomenorrhea (irregular cycles) had moderate stress levels. A significant difference was observed between stress levels and menstrual cycle regularity (p = 0.000). Similarly, 33.4% of respondents with oligomenorrhea had poor sleep quality, and a statistically significant difference was found between sleep quality and menstrual cycle regularity (p = 0.000). Both stress and sleep quality are significantly associated with menstrual cycle irregularities in female students. Interventions aimed at reducing stress and improving sleep quality may help regulate menstrual cycles.
A Review of the Causes of Pending Inpatient Claims to BPJS Kesehatan (Indonesia's National Health Insurance Agency) Using The 7m Framework at Ajibarang Regional Public Hospital
BPJS Kesehatan (Indonesia's National Health Insurance Agency) claims refer to the process of submitting health service costs to BPJS Kesehatan, which requires complete administrative, medical, and coding documentation. Pending claims occur due to discrepancies or incomplete documents, causing delays in payments and hospital cash flow. This study aims to identify the factors causing pending inpatient claims at Ajibarang Regional Public Hospital based on the elements of Man, Money, Material, Machine, Method, Motivation, and Media. Using a qualitative descriptive method with a case study approach, data was collected through in-depth interviews with the Head of the Medical Records Unit, internal verifiers, and coding officers, as well as a documentation study of pending claims in 2024. Data analysis applied the interactive model of Miles and Huberman, which involves data reduction, presentation, and conclusion drawing. Results revealed that out of 17,892 inpatient claims in 2024, 2,109 claims (11.79%) were pending. The primary cause was coding issues (54%), followed by administrative issues (29%) and medical issues (17.1%). Dominant factors included inaccurate diagnosis coding, incomplete documentation, differences in perception between physicians and BPJS verifiers, and technical system barriers. In conclusion, the causes of pending inpatient claims were mainly related to coding issues, followed by administrative and medical problems. Enhancements can be made through improved staff accuracy, coordination, and optimized information systems for smoother claim processing.
Overview of Social Interaction and Quality of Life of the Elderly in Pasinggangan Village, Banyumas
The elderly population is vulnerable to a decline in social interaction and quality of life due to physical, psychological, and social changes associated with the aging process. Maintaining social engagement is essential to support well-being and life satisfaction among older adults. This study used a descriptive quantitative design with a survey approach. The research was conducted in Pasinggangan Village, Banyumas Regency, involving 52 elderly respondents selected using random sampling based on the Slovin formula. Data were collected using questionnaires measuring social interaction and quality of life and analyzed using univariate descriptive statistics. The majority of respondents were aged 60–74 years (75%) and female (76.9%), with hypertension being the most common health condition (21.2%). Most elderly respondents demonstrated good social interaction (73.1%), while 23.1% had moderate interaction and 3.8% had poor interaction. Regarding quality of life, 82.7% had moderate quality of life, 15.4% good, and 1.9% poor. The findings indicate that most elderly individuals in Pasinggangan Village have relatively active social interaction and a moderately good quality of life. Strengthening social support and community engagement is essential to improve elderly well-being.
The Correlation Between Knowledge, Attitudes, and Behaviors Regarding Added Sugar and The Risk of Diabetes Mellitus in Adolescents
Background: Diabetes mellitus is a growing health concern among adolescents, with excessive added sugar consumption being a major contributing factor. Knowledge, attitudes, and behaviors related to added sugar intake play an important role in reducing the risk of diabetes. Method: This study used a quantitative correlational design with a cross-sectional approach. A total of 159 adolescents from SMP Negeri 1 Cilongok were selected using proportional random sampling. Data were collected using questionnaires measuring knowledge, attitudes, behaviors, and diabetes risk using the PRESTARt instrument. Data were analyzed using the chi-square test. Results: The results showed a significant relationship between knowledge and behavior with the risk of diabetes mellitus (p = 0.032 and p = 0.002). However, no significant relationship was found between attitudes and diabetes risk (p = 0.203). Conclusion: Knowledge and behavior regarding added sugar consumption are significantly associated with the risk of diabetes mellitus in adolescents, while attitudes do not show a significant relationship.
The Effects of Hand and Foot Training Videos on Family Caregivers' Knowledge, Attitude, and Behavior in Training Post-Stroke Patients at RSUD Goeteng Taroenadibrata
Family caregivers play a critical role in the rehabilitation of post-stroke patients, especially in performing physical exercises such as Range of Motion (ROM) exercises. This study aimed to evaluate the effect of a video training intervention on family caregivers’ knowledge, attitude, and behavior in training post-stroke patients. A pre-experimental one-group pre-test post-test design was employed. Family caregivers of post-stroke patients at RSUD Goeteng Taroenadibrata participated in the study. Data was collected through pre- and post-test questionnaires that assessed caregivers' knowledge, attitude, and behavior regarding stroke rehabilitation exercises. The Wilcoxon signed-rank test was used for statistical analysis. The results indicated significant improvements in the caregivers' knowledge, attitude, and behavior after watching the training video, with p-values of 0.000 for all variables, indicating a strong positive effect. Video-based educational interventions are effective in enhancing the knowledge, attitude, and behavior of family caregivers in training post-stroke patients. This approach can be recommended as a cost-effective method to improve caregiver involvement in post-stroke rehabilitation.