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THE INFLUENCE OF FAMILY COUNSELING WITH A CONJOINT APPROACH ON THE ROLE OF THE FAMILY IN THE MANAGEMENT OF PEOPLE WITH DIABETES MELLITUS IN THE WORK AREA OF THE BOJONGMANIK INPATIENT HEALTH CENTER Novelia, Hera; Barkah, Asep
HEARTY Vol 13 No 6 (2025): DESEMBER
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v13i6.16116

Abstract

Background: Diabetes is a metabolic disease that arises due to high levels of sugar in the body and its use is not optimal. Diabetes is classified as a dangerous chronic category of disease, especially when it has reached complications. Purpose: To determine the effect of counseling carried out on families using a conjoint approach to the role of families in the management of DM sufferers in the work area of the Bojongmanik Inpatient Health Center. Methods: This study applies a pre-experimental research design. This research design uses one group pretest-posttest, which is a measure of the pretest size given to respondents. The location of the study was conducted at the Bojongmanik Inpatient Health Center, Lebak Regency. The number of samples in this study was 21 respondents. Results: Based on the calculation method carried out with the Wilcoxon sign rank test, the values obtained are: negative ranks mean rank value and the sum of ranks is 0, meaning that there are no samples/respondents who have a post-test value lower than the pre-test value, all samples (21 respondents) have a higher post-test value than the pre-test value. Referring to the calculation results of the Wilcoxon signed ranks test, the Z value obtained is -4.048 with a p-value (Asymp Sig 2-tailed) of 0.000 where the value is less than 0.05. Conclusion: Researchers concluded that there is an influence of family counseling conducted which can be seen from several analysis results. The results of the Wilcoxon test conducted obtained a Z value of -4.048 with a p-value (Asymp Sig 2 tailed) of 0.000 where the value was less than 0.05.
THE RELATIONSHIP BETWEEN FEEDING PATTERNS AND THE INCIDENCE OF STUNTING IN CHILDREN AGED 12-59 MONTHS AT THE CIUYAH VILLAGE POSYANDU, SAJIRA DISTRICT, LEBAK REGENCY IN 2023 Mulyadi, Dede; Barkah, Asep
HEARTY Vol 13 No 6 (2025): DESEMBER
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v13i6.16142

Abstract

Stunting in children is the result of failure to thrive at the age of toddlers. Malnutrition experienced in the First 1000 Days of Life (HPK) makes children more at risk for obstacles to physical growth and vulnerability of children to disease. The prevalence in Indonesia in the last 10 years shows that stunting is one of the biggest nutritional problems in toddlers. The purpose of the study was to determine the relationship between feeding patterns and the incidence of stunting in children aged 12-59 months at the Ciuyah Village Posyandu, Sajira District, Lebak Regency. This study used observational analytical research with a case control design approach. The population in this study was mothers who had children aged 12-59 months at the Ciuyah Village Posyandu, Sajira District. The respondents in this study were 82 respondents, consisting of 41 case samples (total sampling) and 41 control samples (simple random sampling). The independent variable in this study was feeding patterns. The dependent variable in this study is the incidence of stunting. Data were collected using questionnaires and children were measured in height using a stadiometer and converted into a standardized score (z-score). Data were analyzed using Chi-Square test with significance α=0.05. The results showed a significant relationship between feeding patterns and the incidence of stunting in children aged 12-59 months with a p-value of 0.012 (p = 0.012). There needs to be an improvement in feeding patterns and promotion from nurses and health workers to provide good food for children.
Analisis Hubungan Antara Tingkat Pengetahuan dan Kepatuhan Berobat Pasien TB Paru di Puskesmas Tirtamulya Kabupaten Karawang Herlina, Desy; Barkah, Asep
MAHESA : Malahayati Health Student Journal Vol 5, No 12 (2025): Volume 5 Nomor 12 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i12.19749

Abstract

ABSTRACT Pulmonary TB is a deadly lung disease with an incidence rate that is still high in the world. Indonesia is one of the contributors to the highest incidence of pulmonary TB in the world. Indonesia is said to be the second country with the highest incidence of pulmonary TB after India. The treatment success rate for pulmonary TB patients is expected to increase every year. Because this is one of the main efforts to realize a roadmap for eliminating pulmonary TB. Compliance with taking medication is one of the things that must be emphasized to patients undergoing pulmonary TB treatment so that treatment success can be achieved. Lack of knowledge is a barrier to change. Barriers like this need to be overcome when starting the process of change by increasing awareness to evaluate oneself. To determine the relationship between the level of knowledge and compliance with treatment for pulmonary TB patients at the Tirtamulya health center, Karawang district in 2025. This research is experimental research with the research design being one group pre test-post test design. Data analysis used the T paired test and the Wilcoxon statistical test. The research design used in this research is descriptive correlation with a cross-sectional approach. Data were collected using a knowledge questionnaire and the Morisky Medication Adherence Scale (MMAS). The research respondents were 58 respondents with a sampling technique using the Purposive Sampling method. There is a relationship between the knowledge of respondents suffering from pulmonary TB and compliance with pulmonary TB treatment at the Tirtamulya health center, Karawang district. It is hoped that tuberculosis sufferers will remain compliant in carrying out pulmonary TB treatment until completion. Keywords: Knowledge, Compliance, Tuberculosis  ABSTRAK TB paru adalah merupakan suatu penyakit paru yang mematikan dengan angka kejadian yang masih tinggi di dunia. Indonesia merupakan salah satu penyumbang angka tertinggi kejadian TB paru di dunia. Indonesia disebutkan menjadi urutan kedua negara dengan kejadian TB paru terbanyak setelah negara India. Keberhasilan pengobatan (treatment success rate) pada pasien TB paru diharapkan meningkat setiap tahunnya. Karena hal ini merupakan salah satu upaya utama untuk mewujudkan peta jalan eliminasi TB paru. Kepatuhan minum obat menjadi salah satu hal yang harus ditekankan kepada pasien yang melakukan pengobatan TB paru agar keberhasilan pengobatan bisa tercapai. Kurangnya pengetahuan merupakan hambatan untuk berubah. Hambatan seperti ini perlu diatasi saat memulai proses berubah dengan meningkatkan kesadaran untuk mengevaluasi diri sendiri. Mengetahui hubungan antara tingkat pengetahuan dan kepatuhan berobat pasien TB paru di puskesmas Tirtamulya kabupaten Karawang tahun 2025. Desain penelitian yang digunakan dalam penelitian ini adalah deskriptif korelasi dengan metode pendekatan cross-sectional. Pengumpulan data menggunakan kuesioner pengetahuan dan Morisky Medication Adherence Scale (MMAS). Responden peneilitian sebanyak 58 responden dengan teknik pengambilan sampel menggunakan metode Purposive Sampling. Hasil penelitian menunjukkan ari 58 responden sebagian besar responden memiliki pengetahuan baik sebanyak 49 (84,5%) responden dan memiliki kepatuhan sedang terhadap pengobatan TB paru sebanyak 38 (65,5%). Hasil analisis analisis menggunakan uji statistik Chi-Square diperoleh nilai p value sebesar 0,000 (p < 0,05), yang berarti bahwa ada hubungan pengetahuan responden penderita TB paru dengan kepatuhan pengobatan TB paru di puskesmas Tirtamulya kabupaten Karawang. Ada hubungan pengetahuan responden penderita TB paru dengan kepatuhan pengobatan TB paru di puskesmas Tirtamulya kabupaten Karawang Diharapkan penderita tuberkulosis tetap patuh dalam melakukan pengobatan TB paru sampai dengan selesai.  Kata Kunci: Pengetahuan, Kepatuhan, Tuberkulosis
Hubungan Perilaku Merokok Keluarga dengan Kejadian ISPA Pada Balita di Ruang Rawat Anak RSUD Tugu Kota Jakarta Damayanti, Deby Al Qorana; Barkah, Asep
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.21195

Abstract

ABSTRACT WHO in 2023 reported that acute respiratory infections (ARI) contributed to 20% of total child deaths. The 2024 Indonesian Health Survey revealed that there were 86,364 cases of ARI among toddlers throughout Indonesia. At the provincial level, Central Papua recorded the highest number of acute respiratory infections at 11.6%, followed by Papua Pegunungan with 10.7%, and East Java was in third place with 8.8%. Meanwhile, in Jakarta, cases of ARI in toddlers reached 6.0%. Smoking indoors is the main cause of indoor air pollution which can trigger respiratory problems, especially in children and cause ARI in toddlers. Knowing the relationship between family smoking behavior and the incidence of ARI in toddlers. Analytical with cross sectional design. The sample in this study was one of the family members of child patients who were in the children's care room as many as 60 people. The sampling technique used Random Sampling. Most toddlers experience acute respiratory infections (73.3%) and moderate family smoking behavior (61.7%). There is a relationship between family smoking behavior and the incidence of ARI in toddlers (p. value 0.001).There is a relationship between family smoking behavior and the incidence of ARI in toddlers. It is hoped that health workers will conduct socialization about preventing ARI in toddlers. Keywords: Smoking Behavior, ARI, Toddlers.  ABSTRAK WHO tahun 2023 melaporkan bahwa infeksi saluran pernafasan akut (ISPA) menyumbang 20% dari total kematian anak-anak. Survei Kesehatan Indonesia tahun 2024 mengungkapkan bahwa sebanyak 86. 364 kasus ISPA di kalangan Balita di seluruh Indonesia. Untuk tingkatan provinsi, Papua Tengah mencatat angka infeksi saluran pernafasan akut tertinggi sebesar 11,6%, diikuti oleh Papua Pegunungan dengan 10,7%, dan posisi ketiga ditempati oleh Jawa Timur dengan angka 8,8%. Sementara itu, di Jakarta, kasus ISPA pada Balita mencapai 6,0%. Merokok di dalam rumah merupakan penyebab utama polusi udara di area dalam ruangan yang dapat memicu masalah pernapasan, terutama pada anak-anak dan menyebabkan terjadinya ISPA pada Balita. Mengetahui hubungan perilaku merokok keluarga dengan kejadian ISPA pada Balita. Analitik dengan rancangan cross sectional. Sampel dalam penelitian ini adalah salah satu anggota keluarga dari pasien anak yang berada di ruang perawatan anak sebanyak 60 orang. Teknik pengambilan sampel menggunakan Random Sampling. Sebagian besar balita mengalami infeksi saluran pernafasan akut (73,3%) dan perilaku merokok keluarga sedang (61,7%). Ada hubungan perilaku merokok keluarga dengan kejadian ISPA pada Balita(p. value 0,001).Ada hubungan perilaku merokok keluarga dengan kejadian ISPA pada Balita. Diharapkan tenaga kesehatan melakukan sosialisasi tentang pencegahan ISPA pada balita. Kata Kunci: Perilaku Merokok, ISPA, Balita.
Hubungan Aktivitas Fisik dengan Pengendalian Gula Darah pada Pasien Diabetes Melitus di Puskesmas Pangkalan Kabupaten Karawang Werdaya, Puji; Barkah, Asep
MAHESA : Malahayati Health Student Journal Vol 6, No 2 (2026): Volume 6 Nomor 2 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i2.20229

Abstract

ABSTRACT the incidence of diabetes mellitus has reached 800 million, namely around 830 million people. This figure has increased fourfold since 1990. Nationally, the incidence of diabetes mellitus has also increased. Several preventive steps can be taken to avoid diabetes mellitus, such as doing physical activity. Physical activity is one of the 5 pillars of diabetes mellitus management. Based on this, the researchers next wanted to know how the implementation of one of the pillars of diabetes mellitus management, namely physical activity, can affect the blood sugar levels of diabetes mellitus sufferers. To determine the relationship between physical activity and blood sugar control in diabetes mellitus patients at the Karawang Regency Base Health Center in 2025. This type of research is quantitative research with an analytical design. The approach in this research is cross-sectional. There are two variables in this study, namely physical activity and blood sugar in diabetes mellitus patients. To measure activity variables, the IPAQ instrument was used, while to measure patient blood sugar, a blood sugar meter was used in this study, 84 respondents were used using consecutive sampling technique. The research results showed that the majority of respondents with controlled GDP results were 43 (51.2%), with a light activity level of 39 (46.4%) respondents. The results of the analysis using the Chi-Square statistical test obtained a p value of 0.000 (p 0.05), which means that there is a relationship between activity and blood sugar control in the Pangkalan community health center, Karawang district. There is a relationship between physical activity and blood sugar levels in diabetes mellitus sufferers at the Pangkalan health center. For research respondents, it is very important to remember and get used to doing physical activity to maintain body health and regulate blood sugar levels. Keywords: Diabetes Mellitus, Physical Activity, Blood Sugar Levels.  ABSTRAK Angka kejadian diabetes melitus telah mengenai 800 juta yaitu sekitar 830 juta jiwa. Angka ini meningkat empat kali lipat sejak tahun 1990.Secara nasional, angka kejadian diabetes melitus juga meningkat. Beberapa langkah pencegahan dapat dilakukan agar terhindar dari penyakit diabetes melitus seperti melakukan aktivitas fisik.Aktivitas fisik merupakan salah satu pilar dari 5 pilar penatalaksanaan diabetes melitus. Berdasarkan hal ini, selanjutnya peneliti ingin mengetahui bagaimana pelaksanaan salah satu pilar penatalaksanaan diabetes melitus yaitu aktivitas fisik dapat mempengaruhi kadar gula darah penderita diabetes melitus. Mengetahui hubungan aktivitas fisik dengan pengendalian gula darah pada pasien diabetes melitus di puskesmas pangkalan kabupaten karawang tahun 2025. Jenis penelitian ini adalah penelitian kuantitatif dengan desain analitik. Pendekatan dalam penelitian ini adalah crossectional. Terdapat dua variabel dalam penelitian ini yaitu aktivitas fisik dan gula darah pasien diabetes melitus. Untuk mengukur variabel aktivitas digunakan instrumen IPAQ sedangkan untuk mengukur gula darah pasien digunakan alat pengukur gula darah digunakan pada penelitian ini sebesar 84 responden dengan teknik pengambilan sampling consecutive sampling. Hasil penelitian menunjukkan sebagian besar responden dengan hasil GDP terkendali sebanyak 43 (51,2%), dengan tingkat aktivitas ringan sebanyak 39 (46,4%) responden. Hasil analisis menggunakan uji statistik Chi-Square diperoleh nilai p value sebesar 0,000 (p 0,05), yang berarti bahwa terdapat hubungan antara aktivitas dengan pengendalian gula darah di puskesmas Pangkalan kabupaten Karawang. Ada hubungan aktivitas fisik dengan kadar gula darah pada penderita diabetes melitus di puskesmas Pangkalan. Bagi responden penelitian, sangat penting untuk diingat dan dibiasakan untuk melakukan aktivitas fisik untuk menjaga kesehatan tubuh dan mengatur kadar gula dalam darah.  Kata Kunci: Diabetes Melitus, Aktifitas Fisik, Kadar Gula Darah.
What Factors Drive Childhood Stunting? Examining Child Health Risks, Maternal and Early-Life Determinants, Nutrition, and Socioeconomic Influences Barkah, Asep; Usep, Usep; Sony, Ujang; Nugraha, Dani; Amin, Kamaludin Firdaus; Lestari, Vega; Fauzi, Achmad
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i1.610

Abstract

Background: Childhood stunting remains a major global public health challenge driven by complex interactions among child health risks, nutritional status, maternal and early-life determinants, and socioeconomic conditions. Although the literature on stunting has expanded substantially, a comprehensive bibliometric mapping focusing on immunization, nutrition, and maternal determinants remains limited. This study aimed to map global research trends, thematic structures, and collaboration networks related to childhood stunting determinants. Methods: This study employed a bibliometric analysis of Scopus-indexed publications. Data were retrieved from the Scopus database in January 2026 using search terms related to childhood stunting, immunization, nutrition, and maternal factors. Eligible documents included journal articles and review articles published between 2010 and 2026 in English. After screening and data cleaning, 323 documents were included for analysis. Bibliometric indicators were analyzed using VOSviewer version 1.6.20, including publication trends, keyword co-occurrence, co-authorship networks, and thematic clustering. Results: The findings showed a growing volume of publications on childhood stunting determinants over time, indicating increasing global scholarly attention. Keyword co-occurrence analysis identified four major thematic clusters: child health risk factors, maternal and early-life determinants, socioeconomic influences, and nutritional status and malnutrition. The term “stunting” emerged as the central keyword with strong links to child health, maternal nutrition, breastfeeding, poverty, and sanitation. The results indicate that stunting research has evolved into an interdisciplinary field integrating biological, maternal, environmental, and structural perspectives. Conclusion: Research on childhood stunting has developed within an increasingly multidimensional and collaborative scientific landscape. Bibliometric mapping highlights the need for integrated research and policy strategies that connect maternal care, nutrition interventions, immunization services, and socioeconomic support. Future studies should strengthen cross-country collaboration, expand interdisciplinary approaches, and address research gaps in low- and middle-income settings.
Hubungan Mutu Pelayanan dengan Kepuasan Pasien di FDC Dental Klinik Rawamangun Barkah, Asep; Nurmalia, Alma
MAHESA : Malahayati Health Student Journal Vol 6, No 4 (2026): Volume 6 Nomor 4 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i4.22468

Abstract

ABSTRACT The quality of healthcare services is a crucial factor influencing patient satisfaction. This study aims to analyze the relationship between the quality of nursing care services and patient satisfaction at FDC Dental Clinic Rawamangun in 2025. This research employed a quantitative method with a correlational design and a cross-sectional approach. A total of 50 respondents were selected using purposive sampling with inclusion criteria of patients aged over 17 years who had received nursing care services at FDC Dental Clinic. Data were collected using a Likert-scale questionnaire measuring service quality based on the five SERVQUAL dimensions (tangible, reliability, responsiveness, assurance, and empathy) and patient satisfaction levels. Data were analyzed univariately and bivariately using the Chi-Square test. The results showed that most patients assessed the quality of care as good (64%), while the majority expressed satisfaction with the services received (70%). The Chi-Square test yielded a p-value of 0.014 ( 0.05), indicating a significant relationship between service quality and patient satisfaction at FDC Dental Clinic Rawamangun. These findings suggest that the better the quality of care provided, the higher the level of patient satisfaction. Keywords: Service Quality, Patient Satisfaction, Nursing Care, FDC Dental Clinic. ABSTRAK Mutu pelayanan kesehatan merupakan faktor penting yang memengaruhi tingkat kepuasan pasien. Penelitian ini bertujuan untuk menganalisis hubungan antara mutu pelayanan perawatan dengan kepuasan pasien di FDC Dental Klinik Rawamangun tahun 2025. Penelitian menggunakan metode kuantitatif dengan desain korelasional dan pendekatan cross sectional. Sampel penelitian berjumlah 50 responden yang dipilih melalui teknik purposive samplingdengan kriteria inklusi pasien berusia di atas 17 tahun serta pernah mendapatkan pelayanan perawatan di FDC Dental Klinik. Instrumen penelitian berupa kuesioner dengan skala Likert yang mengukur mutu pelayanan berdasarkan lima dimensi SERVQUAL (tangible, reliability, responsiveness, assurance, dan empathy) serta tingkat kepuasan pasien. Analisis data dilakukan secara univariat dan bivariat dengan uji Chi-Square.Hasil penelitian menunjukkan bahwa sebagian besar pasien menilai mutu pelayanan dalam kategori baik (64%), sedangkan tingkat kepuasan pasien mayoritas berada pada kategori puas (70%). Hasil uji Chi-Square memperoleh nilai p = 0,014 ( 0,05), yang berarti terdapat hubungan signifikan antara mutu pelayanan perawatan dengan kepuasan pasien di FDC Dental Klinik Rawamangun. Temuan ini mengindikasikan bahwa semakin baik mutu pelayanan yang diberikan, semakin tinggi tingkat kepuasan pasien. Kata Kunci: Mutu Pelayanan, Kepuasan Pasien, Perawatan, FDC Dental Klinik.