International Journal of Health Sciences

Analysis Of The Role Of Self-Efficacy And Attitude In Preventing Early Pregnancy In Adolescents Through Reproductive Health Education

Zumrotul Ula, Mildaratu, Rezqiqah Aulia Rahmat, Cakrawati R — Sun, 05 Apr 2026 00:00:00 +0000

ABSTRACT

Early pregnancy in adolescents is a health problem influenced by various psychological factors, including self-efficacy and attitude. Self-efficacy plays a role in shaping an individual's belief in their ability to avoid risky behavior, while attitude reflects behavioral tendencies towards reproductive health. This study aims to analyze the role of self-efficacy and attitude in preventing early pregnancy in adolescents through reproductive health education. This study used a quantitative design with a cross-sectional approach . A sample of 110 respondents was selected using a purposive sampling technique. Data were collected using a questionnaire and analyzed using multiple linear regression. The results showed that self-efficacy (β = 0.45; p < 0.001) and attitude (β = 0.32; p < 0.01) significantly influenced early pregnancy prevention behavior, with self-efficacy as the most dominant factor. Reproductive health education has been shown to improve both variables. In conclusion, increasing self-efficacy and positive attitudes through education is an important strategy in preventing early pregnancy in adolescents.

Keywords: Self-Efficacy , Attitude, Adolescents, Early Pregnancy, Reproductive Education

Cost-Benefit Analysis of Preventive Programs in the National Health System

Syaiful Bachri, Azmi Wijayati — Wed, 08 Apr 2026 00:00:00 +0000

Abstract

Preventive programs within the national health system play a crucial role in improving public health while simultaneously reducing long-term healthcare costs. This study aims to analyze the economic benefits versus costs of implementing preventive programs. The method used is a cost-benefit analysis approach , incorporating literature studies and secondary data from various national and international health sources. The results indicate that investments in preventive programs such as immunization, early screening, and health education provide significant economic benefits, including reduced disease burden, increased productivity, and improved health system efficiency. Therefore, preventive programs deserve to be a priority in national health policy.

Keywords: Cost-Benefit Analysis , Preventive Program, National Health System, Health Efficiency

Hospital Management Strategies in Improving the Quality of Inpatient Services

Suaib, Djunaedi — Sun, 05 Apr 2026 00:00:00 +0000

ABSTRACT

The quality of healthcare services is an important indicator in assessing hospital performance. Quality inpatient services can improve patient satisfaction and public trust in healthcare facilities. Hospital management has a strategic role in designing and implementing various policies to improve service quality. This study aims to analyze hospital management strategies in improving the quality of inpatient services. The study used a descriptive analytical design with a cross-sectional approach . The study sample was 90 inpatients selected using a purposive sampling technique. Data were collected through patient satisfaction questionnaires and service observations. Data analysis used the chi-square test . The results showed that the implementation of good management strategies such as improving the competence of healthcare workers, improving facilities, and an effective service management system had a significant relationship with improving the quality of inpatient services (p = 0.017). It was concluded that hospital management strategies have an important influence in improving the quality of inpatient services.

Keywords: Hospital Management, Service Quality, Inpatient Care, Patient Satisfaction

The Relationship Between Physical Activity of Pregnant Women and the Incident of Low Back Pain during the Third Trimester

Cut Mutiah, Joula Timisela, Cakrawati R — Mon, 06 Apr 2026 00:00:00 +0000

ABSTRACT

Low back Pain is a common complaint among pregnant women, especially in the third trimester , due to physiological and biomechanical changes during pregnancy. Physical activity is thought to be associated with lower back pain. This study aimed to determine the relationship between physical activity and the incidence of low back pain. back pain during the third trimester . This study used an analytical design with a cross-sectional approach . The study sample consisted of 65 pregnant women in their third trimester selected using a purposive sampling technique. Data were collected through interviews using a physical activity questionnaire and a pain scale. Data analysis used the chi-square test . The results showed that pregnant women with heavy physical activity had a lower incidence of back pain was 72.7%, while light physical activity was 38.5%. The statistical test results showed a p value of 0.014 (p < 0.05). It was concluded that there is a significant relationship between physical activity of pregnant women and the incidence of low blood pressure. back pain during the third trimester

Keywords: Physical Activity, Pregnant Women, Low Back Pain , Trimester III

The Relationship Between Adolescents' Knowledge Level About Reproductive Health And Their Behaviors To Prevent Sexually Transmitted Infections

Sara Surya, Rezqiqah Aulia Rahmat, Andi Kamal M.Sallo — Fri, 17 Apr 2026 00:00:00 +0000

ABSTRACT

Sexually Transmitted Infections (STIs) are a common health problem among adolescents due to a lack of knowledge and sub optimal preventive behavior. This study aims to analyze the relationship between adolescents' knowledge of reproductive health and their STI prevention behavior. The research method used a quantitative approach with a cross-sectional design with 150 adolescent respondents. Data were collected using a questionnaire and analyzed using chi-square and t-tests. The results showed that adolescents with a good level of knowledge had better preventive behavior (p<0.05). It was concluded that there is a significant relationship between knowledge and STI prevention behavior.

Storytelling Methods by Nurses on Children's Anxiety Levels During Hospitalization

Indrayadi, Wahyuni Anwar, Kasmiati — Mon, 06 Apr 2026 00:00:00 +0000

ABSTRACT

Hospitalization in children often causes anxiety caused by the new environment, medical procedures, and separation from family. High anxiety can impact the child's psychological condition and hinder the healing process. One non-pharmacological intervention that can be carried out by nurses to reduce children's anxiety is the storytelling method. This study aims to determine the effect of the storytelling method by nurses on children's anxiety levels during hospitalization. The study used a quasi-experimental design with a pretest - posttest approach. The study sample consisted of 40 children undergoing treatment in the pediatric inpatient ward. Measurement of anxiety levels was carried out using a child anxiety scale before and after the storytelling intervention. Data analysis used a paired t- test. The results showed a significant decrease in children's anxiety levels after the storytelling intervention (p < 0.001). It was concluded that the storytelling method is effective in reducing children's anxiety levels during hospitalization.

Keywords: Storytelling, Child Anxiety, Hospitalization, Pediatric Nursing

Comparison Of The Effectiveness Of Crystalloid And Colloid Infusion Fluids In Patients With Hypovolemic Shock

Angriawan, Reghula Maryeti Sandra — Thu, 09 Apr 2026 00:00:00 +0000

Hypovolemic shock is an emergency condition resulting from significant fluid volume loss, resulting in decreased tissue perfusion . The primary treatment is fluid resuscitation using crystalloid or colloid fluids. This study aims to compare the effectiveness of crystalloid and colloid infusion fluids in patients with hypovolemic shock . The research method used a quantitative approach with a quasi-experimental design . A sample of 80 patients was divided into two groups (crystalloid and colloid). Parameters measured included blood pressure, pulse rate, and cardiac output. urine . The results showed that both fluids were effective in improving hemodynamic conditions , but colloid fluids showed a faster increase in blood pressure (p<0.05). It was concluded that colloid fluids were more effective in initial stabilization, but crystalloids remained the primary choice due to safety and cost factors.

Keywords: Hypovolemic Shock , Crystalloids, Colloids, Fluid Resuscitation

The Relationship Between Accuracy of Triage Implementation and Patient Waiting Time in the Emergency Department (ER)

Abdul Rivai Saleh Dunggio, Rahmat Pannyiwi — Mon, 06 Apr 2026 00:00:00 +0000

ABSTRACT

Triage implementation is an important process in Emergency Department (ER) services to determine the priority of patient care based on the level of emergency. The accuracy of triage implementation greatly affects the efficiency of services and patient waiting time in receiving medical treatment. This study aims to determine the relationship between the accuracy of triage implementation and patient waiting time in the Emergency Department (ER). The study used an analytical design with a cross-sectional approach. The study sample consisted of 70 patients who came to the ER and were selected using a purposive sampling technique. Data were collected through observation and recording of patient medical records. Data analysis used the chi-square test. The results showed that patients with appropriate triage had a faster waiting time than patients with inappropriate triage. The results of the statistical test showed a p value = 0.021 (p < 0.05). It was concluded that there was a significant relationship between the accuracy of triage implementation and patient waiting time in the ER.

Keywords: Triage, Patient Waiting Time, Emergency Room, Health Services

The Role Of Nurses In Terminal Patient Care In Palliative Units

Isrofah, Rezqiqah Aulia Rahmat — Wed, 08 Apr 2026 00:00:00 +0000

ABSTRACT

Palliative care is an approach aimed at improving the quality of life for terminally ill patients. Nurses play a crucial role in providing holistic care encompassing physical, psychological, social, and spiritual aspects. This study aims to analyze the role of nurses in caring for terminally ill patients in a palliative care unit. The research method used a qualitative approach with a descriptive design. Data were obtained through in-depth interviews with 10 nurses in the palliative care unit. The results indicate that nurses act as direct caregivers, educators , communicators, and emotional supporters for patients and their families. Challenges faced include emotional burden and limited resources. It is concluded that the role of nurses is crucial in improving the quality of life for terminally ill patients.

Keywords: Nurses, Palliative Care, Terminal Patients, Quality of Life

The Effectiveness of Video- Based Lactation Education on Breastfeeding Confidence in Postpartum Mothers

Sun, 05 Apr 2026 00:00:00 +0000

ABSTRACT

A mother's confidence in breastfeeding is a crucial factor influencing successful breastfeeding. Lack of knowledge and experience in breastfeeding often leads to postpartum mothers feeling insecure about breastfeeding their babies. Video-based lactation education is an effective educational method because it delivers information visually and audibly in an engaging manner. This study aims to analyze the effectiveness of video-based lactation education on increasing breastfeeding confidence in postpartum mothers. The study used a quasi-experimental design with a pretest - posttest approach. The study sample consisted of 50 postpartum mothers selected using a purposive sampling technique. Data were collected using a breastfeeding questionnaire. Self-Efficacy Scale (BSES). Data analysis used paired t- test. The results showed that the average breastfeeding confidence score increased from 48.6 ± 7.5 to 67.8 ± 6.9 after video-based lactation education (p < 0.001). It was concluded that video-based lactation education was effective in increasing postpartum mothers' confidence in breastfeeding.

Keywords: Lactation Education, Educational Videos, Breastfeeding Confidence, Postpartum Mothers

Analysis of the Quality of Postpartum Care for Postpartum Mothers with Complications in Hospitals

Maidina Putri, Cakrawati R — Tue, 07 Apr 2026 00:00:00 +0000

ABSTRACT
Postpartum care is a crucial component of maternal health services, ensuring the mother's recovery after delivery. For postpartum mothers with complications, the quality of postpartum care is crucial for preventing morbidity and mortality. This study aimed to analyze the quality of postpartum care for postpartum mothers with complications in the hospital. This study used a quantitative design with a cross-sectional approach. A sample of 90 respondents was selected using a purposive sampling technique. Data were collected through questionnaires and observations, then analyzed using the chi-square test and logistic regression. The results showed that the quality of postpartum care was influenced by the competence of health workers, the availability of facilities, and therapeutic communication (p < 0.05). The dominant factor was health worker competence (OR = 3.1). In conclusion, improving the quality of postpartum care requires a comprehensive approach that includes improving health worker competence and service quality.
Keywords: Postpartum Care, Postpartum, Complications, Service Quality

Analysis Of Determinants Of Premature Labor Incidents In Pregnant Women

Hasnia, Inez Vravty Lestari, Hajar, Herawaty, Sumarni Syam — Sun, 05 Apr 2026 00:00:00 +0000

ABSTRACT

Preterm birth is one of the main causes of neonatal morbidity and mortality. Various risk factors can influence the occurrence of preterm birth, both from medical and social aspects. This study aims to analyze the determinants of the incidence of preterm birth in pregnant women. This study used a quantitative design with a case-control approach . A sample of 120 respondents consisted of 60 cases (preterm birth) and 60 controls ( term birth ). Data were collected through medical records and questionnaires, then analyzed using logistic regression. The results showed that maternal age, nutritional status, medical history, and frequency of antenatal care (ANC) significantly influenced the incidence of preterm birth (p < 0.05). The dominant factor was irregular ANC frequency (OR = 3.5). In conclusion, improving the quality and compliance of ANC visits is very important in preventing preterm birth.

Keywords: Premature Birth, Pregnant Women, Risk Factors, Antenatal Care

The Relationship Between ICU Nurse Burnout Levels and the Quality of Nursing Care for Critically Ill Patients

Novi Yulianti, Rahmat Pannyiwi — Mon, 06 Apr 2026 00:00:00 +0000

ABSTRACT

Burnout is a condition of physical, emotional, and mental exhaustion often experienced by healthcare workers due to high work pressure. Nurses working in intensive care units... Care Unit (ICU) has a high risk of experiencing burnout due to complex work demands and responsibilities in caring for critical patients. Burnout in nurses can affect the quality of nursing care provided to patients. This study aims to determine the relationship between the burnout level of ICU nurses and the quality of nursing care in critical patients. The study used an analytical design with a cross-sectional approach . The study sample consisted of 50 ICU nurses selected using a total sampling technique. Burnout was measured using the Maslach Burnout Inventory (MBI) questionnaire, while the quality of nursing care was assessed through a standard nursing service observation sheet. Data analysis used the chi-square test . The results showed that nurses with high burnout levels had lower quality of nursing care than nurses with low burnout levels. The statistical test results showed a p value = 0.021 (p < 0.05). It was concluded that there is a significant relationship between the burnout level of ICU nurses and the quality of nursing care in critical patients.

Keywords: Burnout, ICU Nurses, Quality of Nursing Care, Critical Patients

Effectiveness Of Local Traditional Medicine In Treating Mild Health Complaints

Fajar Susanti, Rezqiqah Aulia Rahmat — Thu, 09 Apr 2026 00:00:00 +0000

ABSTRACT

Local traditional medicines have long been used by the community as an alternative treatment to overcome various minor health complaints. This study aims to analyze the effectiveness of the use of local traditional medicines in treating minor health complaints such as coughs, fever, and digestive disorders. The research method used a quantitative approach with a cross-sectional design on 120 respondents. Data were collected through questionnaires and analyzed using the chi-square test. The results showed that 70% of respondents who used traditional medicines experienced improvement in symptoms within 2–3 days. There was a significant relationship between the use of traditional medicines and improved health conditions (p<0.05). It was concluded that local traditional medicines are quite effective in treating minor health complaints.

Keywords: Traditional Medicine, Minor Health, Herbal, Effectiveness

The Potential of Fermented Local Food Consumption on the Gut Microbiota Status of Adolescents

Safridha Kemala Putri, Nurhaedah — Mon, 06 Apr 2026 00:00:00 +0000

ABSTRACT

Local fermented foods are a source of natural probiotics that have the potential to provide benefits for digestive health, particularly in maintaining the balance of the gut microbiota. Consumption of fermented foods such as tempeh, fermented cassava, and traditional yogurt is known to contain microorganisms that can support the growth of beneficial bacteria in the digestive tract. This study aims to analyze the potential effect of local fermented food consumption on the gut microbiota status of adolescents. The study used an analytical design with a cross-sectional approach. The study sample consisted of 90 adolescents selected using a purposive sampling technique. Data were collected through a questionnaire regarding the frequency of fermented food consumption and examination of digestive health indicators. Data were analyzed using the chi-square test. The results showed that adolescents who regularly consumed fermented foods had better gut microbiota status than those who rarely consumed fermented foods. The statistical test showed a p- value of 0.015 (p < 0.05). It was concluded that consumption of local fermented foods has the potential to improve gut microbiota balance in adolescents.

Keywords: Fermented Foods, Gut Microbiota, Probiotics, Adolescents

Palliative Approach To Improving The Quality Of Life Of Terminal Patients

Isrofah, Rezqiqah Aulia Rahmat — Wed, 08 Apr 2026 00:00:00 +0000

ABSTRACT

The palliative approach is a comprehensive effort aimed at improving the quality of life of terminally ill patients through symptom management, psychological, social, and spiritual support. This study aims to analyze the effectiveness of the palliative approach in improving the quality of life of terminally ill patients. The research method used a quantitative approach with a cross-sectional design on 100 terminally ill patients in the palliative care unit. Data were collected using a quality of life questionnaire and analyzed using descriptive and inferential statistical tests. The results showed that patients who received a comprehensive palliative approach had higher quality of life scores than those who did not receive optimal intervention (p<0.05). It was concluded that the palliative approach plays a significant role in improving the quality of life of terminally ill patients.

Keywords: Palliative, Quality of Life, Terminal Patients, Nursing

The Effectiveness Of Relaxation Methods And Music On A Gentle Labor Experience

Hamdia Anas, Cakrawati R — Sat, 04 Apr 2026 00:00:00 +0000

Gentle labor (Birth) is a birth approach that emphasizes comfort, calm, and a positive experience for both mother and baby. Relaxation and music therapy are non-pharmacological interventions that can help mothers reduce anxiety and pain during labor. This study aims to analyze the effectiveness of relaxation and music methods on the experience of gentle labor in mothers. The study used a quasi-experimental design with a pretest - posttest approach. The study sample was 50 mothers who gave birth, selected using a purposive sampling technique. The intervention, in the form of relaxation exercises and music therapy, was given during the active labor phase. Data were collected using a childbirth experience questionnaire and a pain scale. Data analysis used paired t- test and chi-square tests. The results showed that mothers who received relaxation and music interventions had a higher level of labor comfort and lower pain intensity compared to before the intervention (p = 0.015). It was concluded that relaxation and music methods are effective in supporting a gentle labor experience.

The Effectiveness Of Health Promotion On Handwashing Behavior With Soap In School Children

Elvira Safidni, Rezqiqah Aulia Rahmat — Sat, 04 Apr 2026 00:00:00 +0000

Handwashing with soap (HWWS) is a clean and healthy lifestyle behavior that is effective in preventing various infectious diseases such as diarrhea and respiratory tract infections. School-age children are a group that is vulnerable to disease due to lack of hygiene practices. Health promotion in schools is an important strategy to improve HWWS behavior in children. This study aims to determine the effectiveness of health promotion on handwashing with soap behavior in school children. The study used a quasi-experimental design with a pretest - posttest approach. The study sample was 60 elementary school students selected using a purposive sampling technique. Data were collected through observation and questionnaires on HWWS behavior before and after health promotion. Data analysis used a paired t- test. The results showed a significant increase in HWWS behavior from an average score of 56.4 ± 9.2 to 78.6 ± 8.5 after the health promotion intervention (p < 0.001). It was concluded that health promotion is effective in improving handwashing with soap behavior in school children.

The Effect Of Whatsapp-Based Nursing Education On Hypertension Self-Management In The Elderly In Rural Areas

Susi Rabuana, Cakrawati R — Sat, 04 Apr 2026 00:00:00 +0000

Exclusive breastfeeding for the first six months of a baby's life is an important effort in improving the health and growth of the baby. However, the success of exclusive breastfeeding is influenced by various factors, one of which is family support. Emotional support, information, and practical assistance from the family can increase the mother's motivation to provide exclusive breastfeeding. This study aims to analyze the effect of family support on the success of exclusive breastfeeding in primiparous mothers. The study used an analytical design with a cross-sectional approach. The study sample was 70 primiparous mothers with babies aged 0–6 months. Data were collected through interviews using a structured questionnaire. Data analysis used the chi-square test. The results showed that mothers who received good family support had a success rate of exclusive breastfeeding of 78.4%, while mothers with less family support only had a success rate of 41.2%. The results of the statistical test showed a p value = 0.012 (p < 0.05). It was concluded that family support has a significant influence on the success of exclusive breastfeeding in primiparous mothers.

Analysis Of Clean Water Availability On Household Environmental Health

Glory Gelarich Simanjuntak, Rahmat Pannyiwi — Sat, 04 Apr 2026 00:00:00 +0000

Clean water is crucial component in maintaining a healthy household Adequate environment availability of clean water can support good hygiene and sanitation practices and prevent various environmental diseases. This study aims to analyze the relationship between clean water availability and household environmental health. The study used an analytical design with a cross-sectional approach. The study sample consisted of 80 households selected using a purposive sampling technique. Data were collected through observation and interviews using a structured questionnaire. Data analysis used the chi-square test. The results showed that households with good clean water availability had better environmental health conditions than households with inadequate clean water availability. The statistics test results showed a p- value of 0.018 (p < 0.05). It was concluded that there is a significant relationship between clean water availability and household environmental health.

Birth Techniques Ball On The Intensity Of Labor Pain In Mothers Giving Birth In The First Stage Of Active Phase

Dia Rejeki Utami, Djunaedi Djunaedi — Sat, 04 Apr 2026 00:00:00 +0000

Labor pain is a physiological experience experienced by women during labor due to uterine contractions and cervical dilation. Labor pain management can be carried out pharmacologically or non-pharmacologically. One non-pharmacological method that can be used is the birth control technique. ball. Birth The birth ball is an exercise using a special ball that helps laboring mothers perform pelvic movements, increasing comfort and reducing pain intensity. This study aims to analyze the effectiveness of this birth ball technique. The effect of ball on the intensity of labor pain in mothers in the first stage of labor during the active phase. The study used a quasi-experimental design with a pretest - posttest approach. without control group. A sample of 30 mothers giving birth was selected using a purposive sampling technique. Pain intensity was measured using a Numeric Rating Pain Scale (NRS). The results showed that the average pain score before the intervention was 7.3 ± 1.1 and after the intervention it became 5.1 ± 1.0 with a p value < 0.001. It was concluded that the birth control technique Ball is effective in reducing the intensity of labor pain in the first active phase.

The Relationship Between Upright Delivery Positions And The Incidence Of Perineal Tears In Normal Delivery

Astin Nur Hanifah, Ismiyanti H. Achmad — Sat, 04 Apr 2026 00:00:00 +0000

Birth position is one factor that can influence the birth process and the risk of complications during labor. Upright birth positions such as standing, sitting, or squatting are believed to utilize gravity to facilitate the birth process. However, this position is also suspected to be associated with the incidence of perineal tears in normal deliveries. This study aims to determine the relationship between upright birth positions and the incidence of perineal tears in normal deliveries. The study used an analytical design with a cross-sectional approach. The study sample consisted of 60 mothers who gave birth normally, selected using a purposive sampling technique. Data were collected through observation and medical record recording. Data analysis used the chi-square test. The results showed that mothers who gave birth in an upright position had a 40% incidence of perineal tears, while those in a non-upright position had a 65% incidence. The statistical test results showed a p value = 0.032 (p < 0.05). It was concluded that there is a relationship between upright birth positions and the incidence of perineal tears in normal deliveries.