International Journal of Health Sciences

Analysis Of Risk Factors For Falls Among The Elderly

2026-10-05T06:39:51+00:00

Falls are a major health problem among older adults and may result in injuries, functional limitations, loss of independence, and increased healthcare utilization. Fall risk is multifactorial and may involve intrinsic and extrinsic factors, including age, previous falls, balance impairment, muscle weakness, visual impairment, medication use, comorbidities, and environmental hazards. To analyze factors associated with fall risk among older adults. A quantitative analytic study with a cross-sectional design was conducted in August 2026 in the working area of Sukamaju Public Health Center. A total of 78 older adults were selected using purposive sampling. Independent variables included age, history of falls, muscle strength, balance, visual impairment, use of fall-risk medications, comorbidities, and home environmental conditions. Fall risk was assessed using the Timed Up and Go (TUG) test and categorized into low and high risk. Bivariate analysis used the chi-square test, while multivariate analysis used logistic regression. Of the 78 older adults, 43 (55.1%) were classified as having high fall risk and 35 (44.9%) as having low fall risk. Significant associations were found between fall risk and history of falls (p=0.002), muscle strength (p=0.011), balance impairment (p<0.001), visual impairment (p=0.019), use of fall-risk medications (p=0.028), comorbidities (p=0.037), and home environmental conditions (p=0.014). Age was not significantly associated with fall risk (p=0.083). Multivariate analysis showed that balance impairment was the strongest determinant of fall risk, with an odds ratio of 4.72. History of falls, muscle strength, balance, visual impairment, medication use, comorbidities, and environmental conditions are associated with fall risk among older adults. Balance impairment is the strongest determinant.

Analysis of Factors Associated with Clean and Healthy Living Behavior in the Community

2026-10-02T08:34:51+00:00

Background : Clean and Healthy Living Behavior is an important component of community health promotion through preventive daily practices life . PHBS may be influenced by various factors , including knowledge , attitudes , family support , and access to health and sanitation facilities. Objective : To analyze factors associated with clean and healthy living behavior among community members. Methods : This study used an observational analytics design with a cross-sectional approach . The study was conducted from May to July 2026 in a community served by a healthcare facilities . A total of 113 respondents were recruited using consecutive sampling. Independent variables included knowledge , attitude , family support , and access to health and sanitation facilities . The dependent variable was clean and healthy living behavior . Data were collected using a structured questionnaire and analyzed using the Chi- square test with a significance level of α=0.05. Results : Sixty-nine respondents (61.1%) demonstrated good clean and healthy living behavior , while 44 respondents (38.9%) demonstrated less favorable Good behavior knowledge was found in 68 respondents (60.2%), positive attitudes in 71 respondents (62.8%), good family support in 65 respondents (57.5%), and adequate access to health and sanitation facilities in 74 respondents (65.5%). Knowledge (p=0.003), attitude (p=0.001), family support (p=0.012), and access to health and sanitation facilities (p=0.021) were significant associated with clean and healthy living behavior. Conclusion : Knowledge , attitude , family support , and access to health and sanitation facilities were significantly associated with clean and healthy living behavior among community members

The Relationship between Family Support and Self-Efficacy with the Success of Exclusive Breastfeeding in Postpartum Mothers

2026-10-01T08:53:41+00:00

Exclusive breastfeeding during the first six months of life is an important strategy to support infant growth and Successful development exclusive breastfeeding is influenced not only by maternal and infant conditions but also by family support and maternal confidence in her ability to breastfeed , known as breastfeeding self-efficacy. This study aimed to determine the relationship between family support and self-efficacy with exclusive breastfeeding success among postpartum mothers . An analytical observational study with a cross-sectional design was conducted at a primary health care facility in an urban area from May to July 2026. The sample consisted of 93 postpartum mothers selected using purposive sampling. Family support and breastfeeding self-efficacy were assessed using questionnaires , while exclusive breastfeeding success was assessed through interviews regarding the infant's history of food and fluid intake . Chi- square tests were used for bivariate analysis. The results showed that 58 respondents (62.4%) received good family support , 55 respondents (59.1%) had high breastfeeding self-efficacy , and 61 respondents (65.6%) succeeded provided exclusive breastfeeding . Exclusive breastfeeding success was 75.9% among mothers with good family support compared with 48.6% among mothers with inadequate Exclusive support breastfeeding success was 78.2% among mothers with high self-efficacy compared with 46.1% among mothers with low self-efficacy. Chi- square analysis demonstrated significant associations between family support and exclusive breastfeeding success (p=0.011) and between breastfeeding self-efficacy and exclusive breastfeeding success (p=0.004). Family support and breastfeeding self-efficacy were associated with exclusive breastfeeding success among postpartum mothers

The Relationship between Maternal Knowledge and Administering Hepatitis B Immunization in the First 24 Hours to Newborns

2026-10-01T08:52:59+00:00

Background : Hepatitis B immunization in newborns is an important strategy to prevent hepatitis B virus transmission from the beginning of life . The birth dose is recommended as soon as possible after birth , particularly within the first 24 hours . Maternal knowledge regarding the benefits and timing of immunization May contribute to timely immunization practices. Objective : To determine the relationship between maternal knowledge and Hepatitis B immunization within the first 24 hours among newborns. Methods : This study used an observational analytics design with a cross-sectional approach . The study was conducted from May to July 2026 at a healthcare facilities . A total of 109 mothers with newborns who met the inclusion criteria were recruited using consecutive sampling. The independent variable was maternal knowledge , while the dependent variable was timely Hepatitis B immunization within the first 24 hours . Data were collected using knowledge questionnaire and immunization observation / documentation records . Data were analyzed using the Chi- square test with a significance level of α=0.05. Results : Sixty-two mothers (56.9%) had good knowledge , 31 mothers (28.4%) had moderate knowledge , and 16 mothers (14.7%) had poor knowledge . Hepatitis B immunization within the first 24 hours was administered to 78 newborns (71.6%), while 31 newborns (28.4%) were not received immunization within this time limit. The proportion of timely immunization was higher among mothers with good knowledge (83.9%) than among those with moderate (64.5%) and poor knowledge (43.8%). The Chi- square test demonstrated a significant relationship between maternal knowledge and Hepatitis B immunization within the first 24 hours (p=0.006). Conclusion : Maternal knowledge was significantly associated with Hepatitis B immunization within the first 24 hours among newborns

The Effect of Hair Personal Hygiene Education Using Comic Media on the Incidence of Pediculosis Capitis Among Female Students in Islamic Boarding Schools

2026-09-28T05:25:58+00:00

Pediculosis capitis is a common health problem among students in Islamic boarding schools due to close interpersonal contact and communal living conditions. Health education using engaging media may support preventive behavior and reduce the occurrence of head lice infestation. This study aimed to determine the effect of hair personal hygiene education using comic media on the occurrence of Pediculosis capitis among female students at Nurul Jadid Islamic Boarding School. This study used a pre-experimental design with a one-group pretest–posttest approach. The population consisted of 451 female students, with 212 respondents selected using simple random sampling. Hair personal hygiene education was delivered using comic media, while the occurrence of Pediculosis capitis was assessed through direct examination using a fine-toothed lice comb before and after the intervention. Data were analyzed using the McNemar test with a significance level of 0.05. Before the intervention, 195 respondents (92.0%) were positive for Pediculosis capitis and 17 (8.0%) were negative. After the intervention, the number of positive respondents decreased to 132 (62.3%), while 80 (37.7%) were negative. The McNemar test showed a statistically significant difference between the pretest and posttest results (p < 0.001). The findings indicate that hair personal hygiene education using comic media had a significant effect on reducing the occurrence of Pediculosis capitis. Comic-based health education can be used as a promotive and preventive approach to support the reduction of head lice infestation among female students in Islamic boarding school settings

Physiotherapy Management Of Right-Sided Bell's Palsy Using Electrical Stimulation, Massage, And Mirror Exercise At Hermina Soreang Hospital

2026-09-27T07:31:34+00:00

Bell's palsy is a unilateral peripheral facial nerve paralysis that may cause facial asymmetry, impaired eye closure, difficulties with eating and drinking, and psychosocial consequences. This scientific paper aims to describe clinical changes following physiotherapy management consisting of electrical stimulation (ES), massage, and mirror exercise in a patient with right-sided Bell's palsy. A descriptive case-report method was used in a 15-year-old female patient who underwent six physiotherapy sessions from March 7 to April 25, 2026. Evaluation was performed using the Numeric Rating Scale (NRS), Ugo Fisch Scale, Manual Muscle Testing (MMT), and the Facial Disability Index (FDI) instrument as used in the case report. Tenderness decreased from 3 to 1, movement-related pain from 4 to 2, and resting pain from 1 to 0. The mean MMT score of eight facial muscles increased from 2.0 at T1 to 5.0 at T6. The Ugo Fisch score increased from 58 to 99. The mean FDI physical-domain score increased from 2.8 to 5.0 and the social-domain score from 3.6 to 5.0. These findings indicate improvements in pain, motor function, and functional ability after six intervention sessions. However, because this case report had no control group and used combined modalities, the changes cannot be causally attributed to any single modality. Combined intervention may be considered as part of an individualized rehabilitation program with periodic monitoring.

Analysis Of The Effectiveness Of Outpatient Registration In Supporting The Achievement Of Minimum Service Standards At Bandung City Regional Public Hospital

2026-09-27T07:30:51+00:00

Outpatient services are among the healthcare services with high activity levels; therefore, the effectiveness of registration and medical record provision plays an important role in supporting the achievement of Minimum Service Standards (SPM). This study aimed to analyze the effectiveness of outpatient registration based on a comparison of medical record provision time in March, April, and May 2026 at Bandung City Regional Public Hospital. The study used an embedded mixed methods design, with a qualitative approach as the primary method and a quantitative approach as supporting data. Quantitative data included registration time, retrieval time for existing medical records, delivery time of medical records to the destination clinic, total provision time, and clinic. The sample was selected using a total sampling technique, consisting of 300 records, with 100 records from each month. Qualitative data were obtained through interviews, observations, and documentation. Descriptive analysis was conducted by comparing medical record provision time across months. The results showed variations in medical record provision time during the study period. These findings can serve as a basis for evaluating and improving the effectiveness of registration and medical record provision to support the achievement of SPM.

Evaluation Of Electronic Medical Record Implementation In Khanza Hospital Management Information System Using The Hot-Fit Method At KMM Sukabumi Eye Specialist Clinic

2026-09-27T07:30:01+00:00

The implementation of Electronic Medical Records (EMR) is an important component of digital transformation in healthcare services. This study aimed to evaluate the implementation of EMR within the Khanza Hospital Management Information System (SIMRS) using the HOT-FIT method at KMM Sukabumi Eye Specialist Clinic. A descriptive qualitative design with an evaluative approach was applied to eight informants. Data were collected through direct observation, in-depth interviews, document review, and literature review. The findings showed that the Human, Organization, and Technology dimensions generally supported EMR implementation and generated benefits such as facilitating staff work, reducing duplicate documentation, improving access to patient information, and supporting service quality. Nevertheless, implementation had not yet reached an optimal level. Identified constraints included the longer adaptation period required by new users, uneven training, geographically distant IT support, incomplete utilization of Khanza SIMRS features, and monitoring and evaluation that were not conducted regularly. Basic technological infrastructure, including computers, LAN/Wi-Fi, servers, UPS/stabilizers, and daily data backup, was available; however, printer/scanner availability remained limited and network disruptions occasionally slowed BPJS bridging and service processes. Regular and equitable training, stronger and more responsive technical support, optimization of system features according to clinic needs, additional supporting devices, and scheduled monitoring and evaluation are therefore recommended to improve the sustainability and effectiveness of EMR implementation.

The Relationship Between Triglyceride Levels And Fasting Blood Glucose Levels In Patients With Type 2 Diabetes Mellitus At A Private Hospital

2026-09-27T07:27:00+00:00

Type 2 diabetes mellitus is a metabolic disease that can cause increased blood glucose levels and disorders of lipid metabolism, including elevated triglyceride levels. This study aimed to determine the relationship between triglyceride levels and fasting blood glucose levels in patients with type 2 diabetes mellitus at Hermina Arcamanik Hospital. This study used an observational analytic design with a cross-sectional approach involving 24 patients. Data were obtained through triglyceride and fasting blood glucose examinations and were analyzed using the Spearman Rank correlation test. The results showed a mean triglyceride level of 176.13 mg/dL and a mean fasting blood glucose level of 115.83 mg/dL. The Spearman test yielded rₛ = 0.331 and p = 0.114 (p > 0.05), indicating a weak positive relationship that was not statistically significant. The findings demonstrate that higher triglyceride levels tended to be accompanied by higher fasting blood glucose levels, although the strength of the association was weak and did not reach statistical significance in the study population. It was concluded that there was no significant relationship between triglyceride levels and fasting blood glucose levels among patients with type 2 diabetes mellitus in this study.

Review Of Readiness For The Use Of The Hospital Management Information System In The Medical Record Unit Using The 7M Approach At Mulyasari Hospital

2026-09-27T07:23:59+00:00

The Hospital Management Information System (HMIS/SIMRS) plays a crucial role in improving the efficiency and quality of healthcare services and therefore requires adequate organizational readiness for implementation. This study aimed to determine readiness for the use of SIMRS at Mulyasari Hospital based on the 7M approach: Man, Money, Materials, Methods, Machine, Management, and Market. A descriptive qualitative method with a cross-sectional approach was employed. Data were collected through interviews, observation, documentation review, and literature review involving nine informants selected by purposive sampling. The findings showed that the Management and Market aspects were categorized as good, whereas Man, Money, Materials, Methods, and Machine were categorized as fairly good. Identified constraints included training that had not yet been sufficiently comprehensive, limited human resources, facilities that did not fully meet service needs, delays in completing medical resumes, unstable networks, slow computers, and system disruptions during maintenance. Overall, Mulyasari Hospital was considered ready to use SIMRS, although several components still require improvement. Regular and more comprehensive training, additional personnel in understaffed units, optimization of budget utilization, development of system features according to service needs, stronger discipline in completing medical documentation, and improvement of information technology infrastructure are recommended to support more optimal and sustainable SIMRS utilization.

The Role Of Hospital Management In Improving Occupational Health And Safety (OHS) Program Compliance Among Non-Medical Staff At The West Java Provincial Occupational Health Regional Hospital

2026-09-27T07:23:16+00:00

Hospitals present various occupational hazards, making the implementation of Hospital Occupational Health and Safety (OHS/K3RS) essential to protect all workers, including non-medical staff. This study aimed to analyze the role of hospital management in improving compliance with the OHS program among non-medical staff at the West Java Provincial Occupational Health Regional Hospital. A descriptive qualitative design was used with six informants selected through purposive sampling. The findings showed that management played an important role through the establishment of K3RS policies and the K3RS Team, confirmed by 50% of informants; provision of personal protective equipment (PPE) and OHS training, confirmed by 83.3%; and periodic program monitoring and evaluation, confirmed by 50%. Compliance among non-medical staff was generally good in PPE use, adherence to standard operating procedures, and participation in OHS activities, each confirmed by 50% of informants, although 66.7% reported variation in compliance across work units. All informants (100%) identified management commitment, policies, PPE, training, and unit-head support as enabling factors, while 66.7% reported barriers including budget limitations, limited K3RS human resources, PPE availability, workload, and inconsistent worker awareness. Management commitment therefore emerged as a key determinant, indicating the need to strengthen monitoring, OHS facilities, continuous training, and safety culture to sustain compliance.