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All Journal Jurnal Keperawatan Muhammadiyah Healthcare Nursing Journal
Exsos Grend Dais
Sekolah Tinggi Ilmu Kesehatan Pertamedika
Health Professions Nursing

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Pendidikan Kesehatan Digital Melalui E-Komik: Meningkatkan Pengetahuan Remaja tentang Risiko Merokok Devi Trianingsih; Nirina Arlly Nabila; Gaung Eka Ramadhan; Exsos Grend Dais; Fajriyah Nur Afriyanti
Jurnal Keperawatan Muhammadiyah Vol 11 No 2 (2026): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v11i2.29654

Abstract

Smoking behavior among adolescents remains a serious public health problem, especially among high school students who often do not understand the long-term impacts. Digital learning media offers a new, more engaging and youth-appropriate way to deliver health education. This study aims to assess the effectiveness of an e-comic-based health education intervention in improving the knowledge of eleventh-grade students about the dangers of smoking. The e-comic used has been officially registered with HAKI under number EC002025160224. The study used a quasi-experimental one-group pretest–posttest design with 79 respondents who met the inclusion criteria. The questionnaire instrument was validated and demonstrated high reliability with a Cronbach's alpha value of 0.892. Univariate and bivariate analyses were conducted to assess changes in knowledge. The average pretest score of 10.71 (SD = 2.22) indicated low to moderate initial knowledge, while the posttest score increased to 18.87 (SD = 1.11). The Wilcoxon Signed Rank test showed a significant difference between the two scores (p = 0.001). These results prove that IPR-enabled e-comics are effective in increasing adolescents' knowledge about the dangers of smoking, so that creative digital media can be an important strategy in smoking prevention efforts in schools.
Slow Deep Breathing: Non-Pharmacological Strategies in ControllingDiabetes Mellitus Risk Factors Exsos Grend Dais; Tati Suryati; Maryati Maryati; Achirman Achirman; Ratna Sari Dinaryanti; Yanti Riyantini
HealthCare Nursing Journal Vol. 8 No. 2 (2026): HealthCare Nursing Journal
Publisher : LP3M Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v8i2.8004

Abstract

Diabetes mellitus (DM) is a major non-communicable disease with a continuously increasing global prevalence. Psychological stress is a modifiable risk factor associated with impaired glucose regulation; however, public awareness of stress management remains limited. This study aimed to determine the effect of structured deep breathing education on adults' deep breathing skills as a non-pharmacological approach to support DM risk reduction. A quasi-experimental study with a one-group pretest-posttest design was conducted among 43 adults selected through purposive sampling in Kebayoran Lama Selatan, South Jakarta. Participants received education and guided practice in slow deep breathing, and their skills were assessed using an observation checklist before and after the intervention. Data were analyzed using the Wilcoxon Signed Rank Test. The median skill score increased from 26 (Q1–Q3: 25–31) before the intervention to 40 (Q1–Q3: 31–43) after the intervention. A statistically significant improvement was observed (Z = −4.863, p < 0.001), with a large effect size (r = 0.742). Structured deep breathing education significantly improved participants' ability to perform the technique correctly. These findings suggest that deep breathing education may serve as a simple complementary nursing intervention to support stress management as part of DM risk reduction strategies.
Co-Authors Achirman Achirman Devi Trianingsih Fajriyah Nur Afriyanti Gaung Eka Ramadhan Maryati Maryati Nirina Arlly Nabila Ratna Sari Dinaryanti Tati Suryati Yanti Riyantini