Comprehensive Health Care

Effects of Lavender Aromatherapy on Students' Anxiety during Emergency Maternal and Neonatal Final Exams

Mutmainnah — 2025-08-27

Anxiety in students is usually something that is considered threatening such as the implementation of the final semester exam (UAS). Approaching the UAS schedule, students begin to feel restless, especially in compulsory courses. Anxiety affects several organs such as visceral and motoric, as well as thoughts, perception, and learning. Therefore, anxiety can inhibit cognitive function which affects performance during exams. Complementary medicine is currently becoming a hype, because of a paradigm shift, namely treatment that prioritizes non-pharmacological therapy, to reduce the side effects of chemical drugs. Effects of Lavender Aromatherapy on Students' Anxiety during Emergency Maternal and Neonatal Assessments The study's goal was to examine the impact of using lavender aromatherapy on students' anxiety during the maternal and neonatal emergency health examination. Research method with a single group pre-test and post-test design, the research is a quasi-experiment. There were 38 students in the research sample who met the inclusion criteria.The results of the Wilcoxon p-value test analysis 0.000 means ppparently students' anxiety levels before the maternity and neonatal emergency health exam are affected by the use of lavender aromatherapy. According to the study's findings, students' anxiety levels before final exams can be decreased by using lavender aromatherapy.

Overview of Nursing Diagnoses in Respiratory Emergency Cases at the Emergency Department of Andi Makkasau Regional General Hospital, Parepare City

Bahriah — 2025-08-26

Respiratory emergencies are very critical conditions and require rapid treatment in the Emergency Department (ER). An accurate nursing diagnosis is important to support patient safety and recovery. The purpose of this study was to determine the description of nursing diagnoses that are often made in patients with respiratory emergencies in the ER of Andi Makkasau Hospital, Parepare City. This study used a quantitative descriptive design with a total sampling technique. Data were taken from patient medical records throughout 2024 and analyzed univariately. The results showed that the three most common nursing diagnoses were ineffective breathing patterns (63.77%), impaired gas exchange (34.49%), and ineffective airway clearance (1.74%). Ineffective breathing patterns were the most common problem. Nurses in the ER are expected to continue to improve their ability to recognize and handle respiratory emergencies.

Effect Of Umbilical Cord Care Using the Topical Breastfeeding Method on The Length of Time for Releasing the Umbilical Cord of Newborns

Andi Nurlaily Lely — 2025-08-27

Neonatal tetanus can occur, one of which is due to infection in the baby's umbilical cord, the faster the umbilical cord is released, reducing the risk of infection. Umbilical cord care using breast milk is the newest cord care which is cleaned and cared for by applying breast milk to the base of the umbilical cord using a cotton bud. This research designPre-Experiment with a static group comparison research design. The population of this study were newborns aged 0-8 days in the September-October period in the working area of the Bontobangun Health Center. The sample of this study were newborns aged 0 days as many as 24 babies with total sampling technique, which were divided into two intervention groups, namely the topical method of breast milk and the group of wrapping breast milk with dry gauze.

Data analysis used the Chi Square test. The results of the Bivariate Analysis obtained a value of p = 0.000. This value is smaller than the value α = 0.05, so it can be concluded that 0.000 <0.05, so there is a significant effect between cord care using the topical breastfeeding method on the time of releasing the umbilical cord of newborns in the Working Area of the Bontobangun Health Center. The conclusion in this study is that treatment using the topical method of breast milk releases the umbilical cord faster than normal umbilical cord care. So that treatment using the topical method of ASI is more recommended

Keywords; umbilical cord; topical breast milk

The Relationship Between the Duration of Gadget Use and Sleep Quality and Visual Acuity of Students at Panrita Husada Health College Bulukumba

Ani — 2025-08-27

Gadget use can raise concerns regarding its impact on health and social life for adolescents. The results of interviews with 17 students of STIKES Panrita Husada Bulukumba with respondents who use gadgets showed that some respondents experienced sleep disorders, usually past 12 am to 3 am. In addition, respondents also said they usually felt eye fatigue, dry and itchy eyes, and blurred vision after using gadgets for too long. This study aims to determine the relationship between the duration of gadget use with sleep quality and visual acuity in students at STIKES Panrita Husada Bulukumba. The design used in this study was a quantitative descriptive correlational non-experimental with a cross-sectional approach. The number of samples in this study was 74 respondents using non-probability sampling techniques and purposive sampling methods. Data collection tools were questionnaires on the duration of gadget use, sleep quality, and visual acuity observation sheets. The results of the analysis using the Kolmogorov-Smirnov alternative Chi-square test on the relationship between the duration of gadget use with sleep quality and visual acuity obtained a significance value (p-value) of 0.000. Conclusions and Recommendations: There is a relationship between the duration of gadget use and sleep quality and visual acuity in students at STIKES Panrita Husada Bulukumba. Based on these results, it is recommended that students regulate the duration of gadget use, especially at night, to maintain sleep quality and eye health.

The Relationship Between Family Support and Elderly Independence Towards the Self-Concept of the Elderly in The Village Area Jatijajar City of Depok

Saka Adhijaya Pendit — 2025-08-26

Aging is a natural process in the stages of human life that will affect their health status. Various problems that arise in the elderly are functional consequences of biological, psychological, social, and spiritual changes. Changes that occur in old age can cause dependence on their closest family, be it their spouse or grandchildren.Changes in the elderly, both physically, mentally and emotionally, require family support, because family support helps with elderly problems. In order for the elderly to enjoy life in old age so that they can be happy or feel happy, support is needed from people close to them. This support aims to ensure that the elderly can continue to carry out daily activities regularly and not excessively. This study aimsAnalyzing the relationship between family support and elderly independence towards the concept of elderly self in the Jatijajar Urban Village, Depok City. This type of research isdescriptive correlation research, using a cross-sectional design.The population in this study was all elderly people who were inJatijajar sub-district area of Depok city.The sample in this study was taken based on inclusion and exclusion criteria with a sample size of 78 people. The results of statistical tests using the chi square test showed a p-value = 0.000 smaller than the value of α = 0.05, which means that there is a relationship between family support and elderly independence with the self-concept of the elderly in the Jatijajar Village Area, Depok City.This research is expected to provide information to the general public and patient families that there are many factors such as family support and elderly independence that can influence the elderly's self-concept.

The Effect of Respiratory Exercise Therapy on Improving Lung Function in Tuberculosis Patients: A Systematic Review

Andi Tenriola — 2025-08-27

Tuberculosis (TB) remains a major global health concern with a high burden of disease, particularly in developing countries. Pulmonary TB infection often leads to permanent lung damage and impaired pulmonary function even after completion of standard treatment. Pulmonary rehabilitation, especially through breathing exercises, is considered a simple, low-cost, and promising intervention to improve lung function and quality of life in TB patients. However, existing evidence has reported inconsistent results. To evaluate the effects of breathing exercise therapy on pulmonary function in patients with tuberculosis through a systematic review based on PRISMA 2020 guidelines. A comprehensive literature search was conducted in PubMed, Scopus, ProQuest, ScienceDirect, and Google Scholar using the keywords “tuberculosis,” “breathing exercise,” “respiratory physiotherapy,” and “lung function.” The search was limited to articles published between 2010 and 2025. Eligible studies included primary research with randomized controlled trials, quasi-experimental, or cohort designs that investigated breathing exercises in TB patients with pulmonary function outcomes. Article selection followed the PRISMA flow diagram. Data extracted included authors, year, study design, sample size, intervention type, duration, frequency, and outcomes. Study quality was assessed using the JBI Critical Appraisal Tools and the Cochrane Risk of Bias Tool. Out of 1,235 articles identified, 7 studies met the inclusion criteria. Interventions examined included pursed-lip breathing, diaphragmatic breathing, incentive spirometry, and structured pulmonary rehabilitation programs. Most studies reported significant improvements in pulmonary function parameters (FEV1, FVC, FEV1/FVC), as well as enhanced exercise capacity and quality of life. Interventions lasting at least 6–12 weeks with a frequency of ≥3 sessions per week produced more consistent results compared to short-term interventions. Variations in findings were observed across study designs, sample sizes, and types of breathing exercise. Breathing exercise therapy is effective in improving lung function, exercise tolerance, and quality of life in patients with TB and post-TB lung disease. This intervention should be considered as part of pulmonary rehabilitation and long-term TB management strategies. Further large-scale randomized controlled trials with standardized protocols are needed to strengthen evidence-based physiotherapy recommendations.

An Overview of Alternative Treatments for the Healing Rate of Fracture Patients in Bulukumba Regency

Nadia Alfira — 2025-08-26

Background : Fractures (broken bones) are the most common occurrence in the productive age group. According to WHO, in 2020, fractures were recorded in around 13 million people with a prevalence of 2.7 % . Fractures are one of the causes of disability caused by trauma, namely accidents. Fractures can cause disability or even death if the fracture is not handled properly. Medical treatment of fractures is not the only option for people today.

Objective : To find out the picture of alternative treatments on the healing rate of fracture patients in Bulukumba Regency.

Method : This study used a qualitative research design with a descriptive-survey approach. Six participants were selected according to the criteria and subjected to observations and interviews.

Research result : The research results identified three themes, namely: (1) alternative medicine with the subthemes of alternative medicine therapists and forms of alternative medicine, (2) healing rate with the subthemes of fracture treatment, duration of treatment and fracture condition, (3) Coping mechanisms with the subthemes of understanding alternative medicine, perceptions of alternative fracture treatment, reasons for choosing alternative fracture treatment.

Conclusion and Recommendations : Alternative medicine therapists are often referred to as sanro or shamans in the community. Alternative treatments for fractures include massaging with oil, reciting prayers , and wrapping the fracture in cardboard. Reasons for choosing alternative medicine for fracture management vary, including low cost, faster healing, encouragement from family or parents, and proximity to alternative treatment facilities. The type of fracture experienced by patients who come for treatment with alternative medicine is a closed fracture. There are some whose fractures have not healed, but there are also some whose have healed. Researchers suggest that further research in the future could delve deeper into alternative fracture treatments for patients undergoing alternative fracture treatments.

Keywords : fracture, alternative medicine, healing rate

The Accuracy of ICD-10 Codes for Clinical Diagnosis and Supporting Examinations of Hypertension Cases in Inpatient Care at Hospital

Agustina — 2025-08-29

Background: Accurate diagnosis coding is essential to support processes such as the preparation of statistical reports, health insurance claims to BPJS, and data-based decision-making. A preliminary study at RSUD X Makassar in the first quarter of 2025 found 243 electronic medical records of inpatients diagnosed with hypertension with diabetes mellitus complications, of which 20 records contained incorrect codes. Objective: To determine the relationship between clinical diagnosis and supporting examinations with the accuracy of ICD-10 codes in hypertension cases among inpatients at RSUD X Makassar. Methods: This study employed a cross-sectional design with a quantitative approach. The population consisted of inpatient medical records from the first quarter, with a sample of 71 medical records of hypertension cases selected using random sampling. Results: Based on hypothesis testing, two variables were analyzed: clinical diagnosis and ICD-10 code accuracy. The significance value (p-value) was 0.184. Since the significance value of 0.184 > 0.05, the next variable tested was the completeness of supporting examinations and code accuracy, which yielded a significance value of 0.452 > 0.05. Further Pearson correlation testing revealed that the strength of the relationship between clinical diagnosis and code accuracy had a correlation coefficient of r = 0.158 with a significance value of p = 0.189 (p > 0.05). Meanwhile, the relationship between completeness of examinations and code accuracy showed a correlation coefficient of r = 0.089 with a significance value of p = 0.459 (p > 0.05), indicating a very weak correlation. Conclusion: Both variables demonstrated no significant relationship, suggesting that other factors may be more dominant. The experience and training of coders may have a greater influence than the completeness of medical records. Moreover, the implementation of health information technology could further enhance coding accuracy.

Keyword: Code Accuracy, Clinical Diagnosis, Supporting Investigation