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All Journal Jurnal Keperawatan Muhammadiyah Malahayati International Journal of Nursing and Health Science
Fajriyah Nur Afriyanti
Sekolah Tinggi Ilmu Kesehatan Pertamedika
Health Professions Nursing Public Health

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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.
Islamic religiosity, self-concept, and quarter-life crisis among undergraduate health sciences students Fajriyah Nur Afriyanti; Eneng Erna Purnama; Tati Suryati; Rian Agus Setiawan; Achirman Achirman
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 5 (2026): Volume 9 Number 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i5.3428

Abstract

Background: The quarter-life crisis (QLC), typically occurring during emerging adulthood, represents a prolonged emotional struggle that may lead to adverse outcomes such as stress, anxiety disorders, and depression. Purpose: To examine the correlation between Islamic religiosity and self-concept with QLC among undergraduate students. Method: A quantitative correlational design with a cross-sectional approach was employed, involving 82 students. Data were collected using structured questionnaires and analyzed through univariate and bivariate techniques, with Spearman’s rank correlation applied. Results: The majority of respondents were 21 years old (52.43%), female (82.93%), and enrolled in public schools (79.27%). Most demonstrated moderate Islamic religiosity (70.73%), particularly in spiritual experiences (mean = 37.41). All students reported a positive overall self-concept, with role performance (97.56%) being the strongest dimension. Statistical analysis revealed no significant relationship between Islamic religiosity and QLC (p = 0.152, r = –0.160). However, a significant negative correlation was found between self-concept and QLC (p = 0.001, r = –0.440). While religiosity components such as spiritual experiences, consequences, and worship practices were moderately expressed, they did not significantly influence QLC. In contrast, negative aspects of self-concept—including body image, ideal self, self-esteem, role performance, and personal identity—were significantly associated with QLC. Conclusion: Self-concept was moderately and inversely associated with quarter-life crisis, whereas Islamic religiosity was not significantly associated with quarter-life crisis. The cross-sectional design does not establish causality.
Co-Authors Achirman Achirman Devi Trianingsih Eneng Erna Purnama Exsos Grend Dais Gaung Eka Ramadhan Nirina Arlly Nabila Rian Agus Setiawan Tati Suryati