Comprehensive Health Care

Family Anxiety Level Overview Of Icu Patients At Hospital X

Septi Alika, Maria Susila Sumartiningsih, Roza Indra Yeni, Rima Berlian Putri — Sun, 04 Jan 2026 00:00:00 +0000

Background: Families of patients in the ICU often experience psychological stress, one of which is anxiety. The high level of anxiety in families of patients is due to the critical condition of the patient and the intensive care environment. This study aims to determine the level of anxiety in families of ICU patients at Hospital X. The design of this study uses a quantitative method with a descriptive approach. The sample consisted of 77 respondents using the Slovin formula technique with a margin of error (10%). The instrument was a questionnaire on anxiety levels (HARS) (Hamilton Anxiety Rating Scale). The results showed that most families of patients in the ICU of Hospital X in the age range of 46-70 years (72.7%), were female (63.6%), had a high school/vocational high school education (49.4%), worked (67.5%), and had family relationships as partners (33.8%). Most families of ICU patients had severe anxiety levels (53.2%), and very severe anxiety levels (9.1%). Therefore, it can be concluded that most families of patients in the ICU experienced severe anxiety and very severe anxiety. Demographic factors such as age, gender, education, occupation, and family relationship with the patient also contribute to the level of anxiety experienced.

The Relationship Between Family Support And The Independence Of The Elderly In Fulfilling Daily Activities In Urban Village X West Jakarta

Triana Dewi Afiatina, Rima Berliana Putri — Sun, 04 Jan 2026 00:00:00 +0000

Background: The elderly are individuals aged ≥60 years, who naturally experience a decline in physical and psychosocial functions due to the aging process. This decline includes the cardiovascular, respiratory, musculoskeletal, gastrointestinal, and genitourinary systems, thus affecting the ability of the elderly to carry out activities of daily living independently. In addition, psychosocial changes such as retirement, loss of spouse, residential relocation, and new roles such as caring for grandchildren, also worsen the emotional and social conditions of the elderly. One important factor that plays a role in maintaining the independence of the elderly is family support. The family acts as a companion, motivator, and provider of assistance in carrying out daily activities, so as to improve the overall quality of life of the elderly. This study aims to determine the relationship between family support and elderly independence in fulfilling daily activities in Kelurahan X, West Jakarta. This study used a quantitative approach with a cross sectional analytic design. The population in this study were 135 elderly people living in Kelurahan X, with a sample size of 57 respondents taken using random sampling technique. Data collection was carried out through questionnaires, and analysis using the chi-square test with a significance level of p ≤ 0.05. The results showed that there was a significant relationship between

The Relationship Between Nurses' Knowledge of Ultrafiltration Rate and the Incidence of Intradialytic Hypotension in Chronic Kidney Failure Patients at X General Hospital

Sun, 04 Jan 2026 00:00:00 +0000

Background: Intradialytic hypotension is one of the most common complications among patients with chronic kidney disease undergoing hemodialysis, with a prevalence exceeding 50%. One factor influencing this condition is the ultrafiltration rate (UFR). Nurses play a central role in ensuring accurate and safe UFR settings; therefore, adequate knowledge in this area is essential to prevent hypotensive complications. This study aimed to determine the relationship between nurses’ knowledge of ultrafiltration rate and the incidence of intradialytic hypotension in patients with chronic kidney disease at RSUD X. A quantitative cross-sectional design was employed. The sample consisted of 37 hemodialysis unit nurses, selected using a total sampling technique. Data were collected using a knowledge questionnaire and an observation sheet to record hypotension events. Data analysis was performed using univariate and bivariate methods, with the Chi-Square test applied for statistical evaluation. The results showed that the majority of respondents had good knowledge levels (91.9%), yet more than half of the patients experienced intradialytic hypotension (54.1%). Statistical analysis indicated no significant relationship between nurses’ knowledge levels and the incidence of intradialytic hypotension (p > 0.05). In conclusion, although nurses’ knowledge of ultrafiltration rate was generally good, it was not directly associated with the occurrence of intradialytic hypotension. Therefore, ongoing educational programs and comprehensive evaluations of clinical practice are recommended to improve the quality of hemodialysis management and minimize the risk of complications.

The Relationship of Knowledge and Attitude with Dietary Adherence in Patients with Diabetes Mellitus in the Working Area of Bissappu Health Center in 2025

Hamdana Hamdana, Nur Afifah Lutfiah, Amirullah Amirullah — Fri, 23 Jan 2026 00:00:00 +0000

Diabetes Mellitus (DM) is a chronic metabolic disease characterized by high blood glucose levels due to impaired insulin secretion, insulin action, or both. One of the important aspects of long-term management of diabetes mellitus is adherence to an appropriate diet. A proper diet can help keep blood sugar levels stable and prevent long-term complications. However, many people with diabetes mellitus do not have an adequate understanding of the importance of a proper diet. In the working area of the Bissappu Health Center, Bantaeng Regency, cases of diabetes mellitus continue to increase every year, while data on the level of dietary adherence of patients is still not systematically documented. Therefore, the patient's knowledge and attitude towards the diabetes mellitus diet is an important aspect that needs to be researched. This study aims to determine the relationship between knowledge and attitude and dietary adherence in patients with diabetes mellitus in the working area of the Bissappu Health Center, Bantaeng Regency. This type of research is descriptive correlation with cross-sectional design. The total sample of 47 respondents with diabetes mellitus was selected using accidental sampling techniques. Data is collected through a questionnaire that has been tested for validity. Data analysis using spearmen correlation test. The results showed a significant relationship between knowledge and dietary adherence (p = 0.001; r = 0.476) and attitude with diet adherence (p = 0.003; r = 0.418). The majority of respondents showed a low level of knowledge, attitude, and dietary adherence. There was a meaningful relationship between knowledge and attitudes and dietary adherence in people with DM. It is recommended that health workers be more active in providing education and continuous interventions to increase patient awareness and compliance in carrying out the diet as recommended.

The Effect of Aerobic Exercise in Combination with Intermittent Fasting Diet on Changes in Total Cholesterol Levels in Overweight Individuals in Bulukumba Regency

Amirullah Amirullah , Amrianti Nur, Muriyati Muriyati, Hamdana Hamdana — Wed, 04 Feb 2026 00:00:00 +0000

Background: Being overweight and obese is a major risk factor for metabolic disorders, including hypercholesterolemia, which can lead to cardiovascular disease. Cholesterol levels can be reduced through non-pharmacological interventions such as aerobic exercise and intermittent fasting, which are believed to be effective in lowering cholesterol levels. Objective: To determine the effect of aerobic exercise combined with intermittent fasting diet on changes in cholesterol levels in overweight individuals in Bulukumba Regency. Method: This research method uses a quasi-experimental design with a nonequivalent control group design. The sample consisted of 34 respondents divided into two groups, namely the intervention group and the control group, each with 17 people. This intervention was carried out for 6 weeks, with a frequency of exercise 3x a week and interspersed with an intermittent fasting diet. Cholesterol levels were measured before and after the intervention using a cholesterol meter. Data analysis was carried out using a paired t-test. Results: The analysis showed a decrease in the average cholesterol level in the intervention group from 208.29 mg/dl to 182.24 mg/dl. Conversely, in the control group, there was an increase in cholesterol levels from 202.35 mg/dl to 211.76 mg/dl. Statistical tests showed a p value = 0.001 (p <0.005), which means there is a significant effect between aerobic exercise combined with intermittent fasting diet on changes in cholesterol levels. Conclusion: Aerobic exercise combined with an intermittent fasting diet is effective in lowering cholesterol levels in overweight individuals. This intervention could be an alternative non- pharmacological strategy for controlling cholesterol levels and preventing cardiovascular disease.

Effect Of Combined Cognitive Behavioural Therapy and Dhikr Therapy on Depression And Glycaemic Control Among Patients with Type II Diabetes Mellitus: A Quasi-Experimental Study in Bulukumba, Indonesia

Andi Suswani, Fatmawati Fatmawati, Asri Asri — Fri, 19 Dec 2025 00:00:00 +0000

Background: Depression is a common comorbidity in Diabetes Mellitus (DM) and is associated with poor glycaemic control. Although pharmacotherapy can reduce depressive symptoms, nearly half of DM patients remain severely depressed, highlighting the need for effective non-pharmacological interventions. Cognitive Behavioural Therapy (CBT) combined with dhikr therapy offers a potential approach that integrates psychological and spiritual healing. Objective: This study aimed to determine the effect of CBT combined with dhikr therapy on depression levels and glycaemic control among Type II DM patients. Methods: A quasi-experimental pretest–posttest control group design was conducted over four weeks at Tanete and Bontobangun Health Centres, Bulukumba Regency, Indonesia. Eighty-four Type II DM patients with depression were recruited through purposive sampling, comprising 44 participants in the intervention group and 40 in the control group. The intervention group received structured CBT sessions integrated with dhikr once weekly for four weeks, while the control group received standard care. Depression levels were measured using the DASS-21 instrument, and blood glucose levels were assessed with a glucometer. Data were analyzed using the Wilcoxon test in SPSS. Results: CBT combined with dhikr therapy significantly reduced depression scores and blood glucose levels in the intervention group (p < 0.05), whereas the control group showed no significant changes. Conclusion: The integration of CBT and dhikr therapy effectively improves psychological well-being and glycaemic control in Type II DM patients. This combined therapy provides an evidence-based, non-pharmacological approach that supports holistic diabetes management. Further studies should explore optimal duration and frequency for sustained outcomes.

Factors Associated with Stunting in the Bontosikuyu Community Health Center Work Area

Asnidar Asnidar, Nur Ilma, Fatmawati Fatmawati, Haerani Haerani — Fri, 27 Feb 2026 00:00:00 +0000

Background: Stunting is a multifactorial problem, but it generally occurs due to chronic malnutrition in children, which can impact height and weight. In 2020, 149.2 million children under five worldwide were recorded as experiencing stunting. The prevalence of stunting in the Selayar Islands Regency in 2024 reached 895 children (59.6%). At the Bontosikuyu Community Health Center Work Unit, approximately 92 children (22.9%) were recorded as experiencing stunting. Objective: To identify factors associated with stunting in the Bontosikuyu Community Health Center work area. Methods: Using an analytical observational approach with a nonexperimental research design and cross-sectional method, the population and sample were drawn based on a total sampling of 295 children under five.Results: Based on the test, the factors of breastfeeding history and maternal prenatal check-up history were significantly associated with stunting, with a p-value of 0.000 < 0.05 using the chi-square test. Meanwhile, basic immunization history and toddler check-up history at the integrated health post (Posyandu) were not significantly associated with stunting, with p-values of 0.261 and 0.67 > 0.05 using the Fisher's alternative test.Conclusions: This study found a relationship between breastfeeding history and maternal prenatal check-up history with stunting, while there was no relationship between basic immunization history and toddler check-up history at the integrated health post (Posyandu) with stunting in the Bontosikuyu Community Health Center (UPTD) work area. It is recommended that mothers of toddlers pay attention to their children's nutritional intake, especially during their growth and development, to reduce the risk of stunting in children.

The Relationship Between Spirituality Level And Quality Of Life Of The Elderly In Social Associates Tresna Werdha X

Sun, 04 Jan 2026 00:00:00 +0000

Background: Elderly is the final phase in the human life cycle that cannot be avoided. The decline in quality of life in the elderly generally occurs due to degenerative processes and various psychological problems, especially when spiritual needs are not optimally met. The elderly are expected to be able to increase their spirituality in order to feel peace and satisfaction in life. The purpose of this study was to determine the level of spirituality with the quality of life of the elderly at the Tresna Wredha X Social Home. This research method is quantitative using a correlational analytical design, namely cross-sectional with variable measurement only once at a time. Data collection with an instrument in the form of a questionnaire and analyzed using descriptive statistics. The instrument contains 42 indicators that represent the level of spirituality and quality of life of the elderly. The results of the study using the Chi Square Test with Likelihood Ratio showed a significant correlation of (18.688 with p = 0.001 <0.05). Thus the proposed hypothesis can be accepted, The conclusion is that there is a significant relationship between the level of spirituality and the quality of life of the elderly at the Tresna Wredha X Social Home.

Implementation Of Nursing Care At Hospital X Jakarta

Dwita Dwita, Ricky Riyanto Iksan — Sun, 04 Jan 2026 00:00:00 +0000

Background: Nursing services are a form of professional service based on nursing knowledge and skills, aimed at individuals, families, groups, and communities, both in healthy and sick conditions. Nurses have a crucial role as providers of 24-hour nursing care, making them the health workers with the most intensive interaction with patients compared to other health professions. Therefore, the quality of nursing care implementation is a crucial aspect in the hospital service system. This study aims to provide an overview of the implementation of nurses in carrying out nursing care at Hospital X Jakarta. Methods: This study used a quantitative descriptive approach with a cross-sectional design. The population in this study were all nurses working in the inpatient ward of Hospital X Jakarta, totaling 143 people. The research sample was determined using the Slovin formula to obtain 58 respondents. The data collection technique was carried out through the distribution of validated questionnaires. Results: Of the 58 respondents involved in the study, all nurses (100%) showed the implementation of nursing care in the good category. Conclusion: The results of this study indicate that the implementation of nursing care by nurses at Hospital X Jakarta is in the good category. These findings reflect the optimal quality of nursing services and can be the basis for developing the quality of nursing services and institutional policies in hospitals..

The Relationship Between Nurses' Self-Efficacy and the Accuracy of Treatment in Cardiac Arrest Patients at Hospital X in Tangerang

Sun, 04 Jan 2026 00:00:00 +0000

Background: Cardiac arrest is a medical emergency that requires prompt and appropriate treatment to increase the patient's chances of survival. The quality of care provided by nurses greatly determines the clinical outcome of patients, and nurses' self-efficacy is believed to play an important role in the success of clinical interventions, especially in emergency situations. Data on the relationship between nurses' self-efficacy and the quality of care at X Hospital in Tangerang is still limited, highlighting the urgency of this study. Objective: This study aims to determine the characteristics of respondents, the level of nurses' self-efficacy, and the management of cardiac arrest in patients at X Hospital in Tangerang. Method: This study employed a quantitative analytical correlational design with a cross-sectional approach. The study population and sample consisted of 58 ICU and ED nurses at X Hospital in Tangerang, selected through total sampling. Data were collected using the General Self-Efficacy Scale (GSES) questionnaire and cardiac arrest management instruments, then analysed using the Chi-Square test. Results: The characteristics of the respondents were predominantly female (89.7%), aged >26 years (89.7%), Muslim (100%), with a nursing education (69.0%), and having worked for >1 year (87.9%). The majority of respondents had high self-efficacy (65.5%), but most (67.2%) had low self-efficacy and low accuracy in management. Statistical test results showed a significant relationship between self-efficacy and

Overview Of Physical Activity In Patients With Coronary Heart Disease At Hospital X Jakarta

Tue, 06 Jan 2026 00:00:00 +0000

Background Coronary heart disease (CHD) is one of the leading causes of death in Indonesia. Low physical activity is a significant risk factor contributing to the incidence of CHD. Structured physical activity tailored to the patient's health condition has been proven to help prevent complications and accelerate the recovery process. Therefore, monitoring the level of physical activity in CHD patients is important as part of treatment and prevention efforts. This study aims to determine the physical activity profile of CAD patients undergoing treatment at Hospital X in Jakarta. Method This study uses a descriptive design with a quantitative approach and a cross-sectional design. The sample size was 76 participants selected using purposive sampling. Data were collected using the GPAQ (Global Physical Activity Questionnaire) adapted from the WHO. Results Most respondents were aged ≥ 60 years (46.1%) and more than half had a high school education (53.9%). Based on physical activity levels, the majority of respondents were in the light category (52.6%), followed by the moderate category (39.5%), and only a small proportion engaged in heavy activity (7.9%). Conclusion Patients with CHD at Hospital X in Jakarta generally have low levels of physical activity. Dominant characteristics include advanced age, male gender, secondary education, and unemployed status.

The Relationship between Knowledge and Motivation of Implementing Nurses in the Application of Patient Safety

Edison Siringoringo, Nurlina Nurlina, Sakina Sakina — Tue, 06 Jan 2026 00:00:00 +0000

Patient safety is one of the main indicators of healthcare service quality in hospitals. The implementation of patient safety aims to prevent injuries caused by medical errors or negligence. RSUD K.H. Hayyung, Selayar Islands Regency, has introduced various service innovations, including an online registration system; however, data still show the occurrence of patient safety incidents, including Adverse Events (KTD), Potential Injury Events (KPC), and Near Miss Events (KNC). Nurses’ knowledge and motivation are suspected to have a significant influence on the success of patient safety implementation. Nevertheless, no specific study has yet examined the level of nurses’ knowledge in implementing patient safety in this hospital. There is also no empirical evaluation available regarding the knowledge level of implementing nurses about patient safety. At RSUD K.H. Hayyung, Selayar Islands Regency, there were 39 reported patient safety cases. This study aims to determine the relationship between knowledge and motivation of implementing nurses in the application of patient safety at RSUD K.H. Hayyung, Selayar Islands Regency. The research design used was a cross-sectional approach, meaning that data concerning independent and dependent variables were collected simultaneously. The study population consisted of 77 nurses, with a sample of 49 respondents. The sampling technique used was Probability Sampling with Simple Random Sampling. Data were analyzed using univariate and bivariate analysis with the Chi-Square test. The results showed a significant relationship between knowledge and motivation of implementing nurses in the application of patient safety in the wards of RSUD K.H. Hayyung, Selayar Islands Regency, with p-values of 0.043 and 0.001. This study concludes that there is a significant relationship between knowledge and motivation of implementing nurses in the application of patient safety in the hospital wards. It is recommended that nurses improve their knowledge of patient safety by seeking literature on the subject so that both knowledge and practice of patient safety can be equally enhanced.

Self-Efficacy Of Hemodialysis Patients In Makassar

Sun, 28 Dec 2025 00:00:00 +0000

Background: Self-efficacy is a person's self-confidence in undergoing and facing the problems faced, including patients who are undergoing hemodialysis (HD). Physical changes in hemodialysis patients have an impact on psychological response disorders, especially self-efficacy which can affect the quality of life of hemodialysis patients (Mousa, I. et all 2018). Objective: to determine the description of self-efficacy of hemodialysis patients in Makassar City. Methods: The design used in this study is quantitative through descriptive methods. The instrument used is the chronic kidney disease self-efficacy (CKD-SE) instrument: development and psycometric evaluation that has been modified. The sample in this study amounted to 53 respondents. Results: showed that respondents who were undergoing HD in Makassar city had the most in the range of 46 to 68 years with the youngest age of 26 years and the oldest age of 72 years. Most respondents are female (54.7%) with married marital status (88.7%) and routinely undergo HD twice a week (60.4%). The description of high self-efficacy criteria amounted to (56.6%) and low criteria amounted to (43.4%) with a mean value of 78.08 ± 10.648. Conclusion and suggestion: The picture of self-efficacy of patients undergoing HD who have low problem-solving factors needs to be supported by providing education and knowledge in undergoing good hemodialysis so that it can maintain optimal quality of life during hemodialysis. Providing education and knowledge can be done by nurses or the involvement of patients who have more experience with high self-efficacy so that through further research this can be done.

Comparative Analysis of Online and Offline Learning Strategies on Academic Achievement among Nursing Students at Panrita Husada Health College

Safruddin Safruddin, Muriyati Muriyati, Edison Siringoringo, Hariyanti Haris — Tue, 06 Jan 2026 00:00:00 +0000

Background : Change system learning in a way drastic during and after the COVID-19 pandemic has influence various aspect in the world of education high, including effectiveness method online and offline learning towards achievements academic students. Institutions education health face challenge for adjust learning strategies to remain ensure quality education, especially in matter achievement competence academic and skills professional student .

Objective: Study This aim for analyze difference achievements academic student based on method online and offline learning at STIKES Panrita Bulukumba Village.

Method: Study This use approach quantitative with design comparative . The sample consists of of 114 students divided into two groups : 57 students who participated online learning and 57 students offline learning. Achievement data academic obtained through documentation mark end of semester, and analyzed using the independent sample t-test.

Results: Analysis results show that there is difference significant between achievements academic students who participated online and offline learning (p < 0.0001). Students in the offline group had an average grade of more academic tall compared to with online groups.

Conclusion: Offline learning is proven more effective in increase achievements academic student compared to online learning. These results recommend importance optimization learning face advance or a structured blended learning model, especially in education health that emphasizes integration theory and practice