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Effectiveness of Endorphin Massage for Pain Reduction During the Active Phase of First-Stage Labor: A Quasi-Experimental Pretest–Posttest Study Fitrianingsih, Julia; Fitriani, Fitriani; Yulis, Dian Meiliani
Media Kesehatan Politeknik Kesehatan Makassar Vol 20 No 2 (2025): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v20i2.1711

Abstract

Pain during the first stage of labor frequently heightens maternal stress and may interfere with the physiological progress of childbirth. This study examined the effectiveness of endorphine massage as a non-pharmacological technique for reducing pain experienced by women in the active phase of first-stage labor. A quasi-experimental one-group pretest–posttest design was conducted with sixteen consecutively recruited participants from a community health center. The intervention consisted of a structured endorphine-massage protocol delivered by trained midwives, involving gentle rhythmic strokes and light pressure applied for approximately 15 minutes to the lower back, shoulders, and pelvic area. Pain intensity was measured before and after the intervention using the validated Numeric Rating Scale (NRS). Normality was confirmed with the Shapiro–Wilk test, permitting the use of a paired t-test. The mean pain score decreased from 7.40 before the intervention to 6.13 afterward, indicating a statistically significant reduction (p = 0.001) with a moderate effect size. These findings suggest that endorphine massage may serve as a supportive option for managing pain during the active phase of labor. However, the small sample size and single-site setting limit generalizability, and larger multi-center studies are recommended to strengthen the evidence base for clinical application
Study of Socio-cultural Support for Stunting in Children of Biak Regency K, Hairuddin; Meliani Yulis, Dian; Suprapto, Suprapto
Journal of Public Health Sciences Vol. 5 No. 01 (2026): Article in Press - Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.001299

Abstract

Stunting remains a significant public health concern in Indonesia, particularly in Biak Regency, where socio-cultural factors and infant feeding practices influence child growth. This study examined the association between exclusive breastfeeding and socio-cultural support with stunting among children aged 25–59 months in Biak Regency. A cross-sectional analytic design was applied to 35 toddlers from the Ridge Public Health Center and Integrated Services Post. Data were collected via anthropometric measurements and structured questionnaires and analyzed using Fisher’s Exact Test and binary logistic regression. Stunting prevalence was 65.7%, and only 42.9% of children had received exclusive breastfeeding for the first six months of life. In bivariate analysis, none of the exclusively breastfed children and none of those with adequate socio-cultural support were stunted (both p < 0.001). In multivariable analysis, lack of exclusive breastfeeding (No vs Yes) was associated with higher odds of stunting (AOR = 18.0; 95% CI: 2.90–111.60; p < 0.001), and inadequate socio-cultural support (Inadequate vs Adequate) similarly increased the odds (AOR = 18.0; 95% CI: 2.90–111.60; p < 0.001). These results indicate that exclusive breastfeeding and supportive socio-cultural environments are strongly protective against stunting. Given the small sample and wide confidence intervals, findings should be interpreted with caution but highlight the need for culturally sensitive strategies that promote exclusive breastfeeding and address socio-cultural barriers during the first 1,000 days of life.
OPTIMALISASI PROMOSI KESEHATAN DAN PEMERIKSAAN KESEHATAN GRATIS SEBAGAI UPAYA PREVENTIF BAGI MASYARAKAT PEJALAN KAKI DI CAR FREE DAY BOULEVARD MAKASSAR Yulis, Dian Meiliani; Alimuddin, Alimuddin
Journal of Career Development Vol 3, No 2 (2025): Journal of Career Development
Publisher : Career Development Center Division at Amkop Business School

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37531/jcd.v3i2.209

Abstract

Kegiatan pengabdian kepada masyarakat ini bertujuan untuk mengoptimalkan promosi kesehatan dan pemeriksaan kesehatan gratis sebagai upaya preventif bagi masyarakat pejalan kaki yang beraktivitas di Car Free Day Boulevard Makassar. Car Free Day merupakan ruang publik yang ramai dikunjungi masyarakat untuk berolahraga dan berekreasi, sehingga menjadi momen strategis untuk memberikan edukasi kesehatan serta deteksi dini faktor risiko penyakit.Melalui kegiatan ini, masyarakat memperoleh penyuluhan tentang perilaku hidup bersih dan sehat, pencegahan penyakit tidak menular seperti hipertensi dan diabetes, pentingnya aktivitas fisik, serta pengelolaan pola makan seimbang. Selain itu, dilakukan pemeriksaan kesehatan dasar secara gratis, meliputi pengukuran tekanan darah, kadar gula darah, berat badan, tinggi badan, serta perhitungan Indeks Massa Tubuh. Kegiatan ini diharapkan mampu meningkatkan pengetahuan, kesadaran, dan kepedulian masyarakat terhadap kesehatan diri, mendorong pemeriksaan kesehatan secara berkala, serta membentuk perilaku hidup sehat sebagai langkah preventif. Hasil dari kegiatan ini tidak hanya memberi manfaat langsung kepada peserta, tetapi juga mendukung program pemerintah dalam menurunkan angka kejadian penyakit tidak menular melalui pendekatan promotif dan preventif berbasis masyarakat.Kata Kunci: Promosi Kesehatan, Masyarakat
PENGEMBANGAN MODEL PROMOSI KESEHATAN BERBASIS MASYARAKAT UNTUK PENGENDALIAN HIPERTENSI DAN ASAM URAT SECARA TERINTEGRASI DI CAR FREE DAY MAKASSAR K, Hairuddin; Yulis, Dian Meiliani; Hardiyono, Hardiyono
Journal of Career Development Vol 3, No 2 (2025): Journal of Career Development
Publisher : Career Development Center Division at Amkop Business School

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37531/jcd.v3i2.207

Abstract

Kegiatan Pengabdian kepada Masyarakat (PKM) ini bertujuan mengembangkan model promosi kesehatan berbasis masyarakat untuk pengendalian hipertensi dan asam urat secara terintegrasi pada kegiatan Car Free Day (CFD) Makassar. Permasalahan utama adalah tingginya prevalensi hipertensi dan hiperurisemia serta rendahnya kesadaran masyarakat terhadap deteksi dini dan pengelolaan faktor risiko. Metode yang digunakan meliputi skrining tekanan darah dan kadar asam urat, edukasi interaktif, konseling gizi, serta penyusunan media promosi kesehatan yang mudah dipahami. Kegiatan juga melibatkan kader kesehatan dan komunitas lokal sebagai agen perubahan untuk memperkuat keberlanjutan program. Hasil kegiatan menunjukkan peningkatan pengetahuan peserta tentang pola makan sehat, aktivitas fisik, dan kepatuhan kontrol kesehatan berkala. Model ini efektif meningkatkan partisipasi masyarakat dalam deteksi dini dan pengendalian faktor risiko secara mandiri. Pendekatan berbasis komunitas di ruang publik seperti CFD berpotensi menjadi strategi promotif-preventif yang berkelanjutan dalam menurunkan risiko komplikasi penyakit tidak menular.Kata Kunci: promosi kesehatan, hipertensi, asam urat, berbasis masyarakat, car free day, deteksi dini
Becoming a Resilient Mother: The Impact of Breastfeeding Self-Efficacy and Multiparity on Emotional Adjustment of Postpartum Mothers Fitrianingsih, Julia; Yulis, Dian Meiliani; Herman, Sriyana; Fitriani, Fitriani
Public Health of Indonesia Vol. 12 No. 1 (2026): January - March
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v12i1.1588

Abstract

Background: The postpartum period is a critical phase characterized by significant emotional and psychological transformations Objective: This study aims to investigate the effect of breastfeeding self-efficacy and multiparity on the emotional adjustment of postpartum mothers Method: The research design used was a cross-sectional study to collect data from 101 Breastfeeding mothers. The sample consisted of all postpartum mothers who gave breastmilk. The inclusion criteria were gestational age of at least in women with a singleton pregnancy, 34 weeks, no breast abnormalities, and no smoking or alcohol consumption. Mothers and infants who need special care were excluded. The BSE Scale-Short Form questionnaire was used to collect data. This used crosstabulation, chi-square testing, and regression to evaluate the data to clearly and formally describe the statistical analyses performed. Results: The results showed that mothers with high BSE were much more likely to say they were emotionally stable, with an odds ratio (OR) of 12.54 (p <.001), which means there was a strong connection between BSE and emotional adjustment through multiparity. The crosstab analysis showed that multiparity was likewise statistically significant (p = .000), but when BSE was controlled, regression showed that its effect was not significant (p = .558). Conclusion: The study concludes that breastfeeding self-efficacy is more important than multiparity in determining how well a mother adjusts emotionally after giving birth. Interventions that build BSE may help new mothers feel better emotionally.  Keywords: Breastfeeding Self-Efficacy; Emotional Adjustment; multiparity; postpartum
Value-Based Health Education Interventions and PHBS Change: A Qualitative Study Dian Meiliani Yulis
Jurnal Edukasi Ilmiah Kesehatan Vol. 4 No. 1 (2026): January - April
Publisher : Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/junedik.v4i1.218

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Introduction: Clean and Healthy Living Behavior (PHBS) is a fundamental component of public health promotion aimed at preventing environmentally related diseases. In Kecamatan Baguala, Ambon, the inconsistent implementation of PHBS indicates a gap between knowledge, attitudes, and actual practices. This study aimed to analyze the effectiveness of value-based health education interventions in improving PHBS among community members. Methods: A qualitative descriptive design was employed from August 2024 to January 2025. Participants were selected using purposive sampling, including health cadres, community leaders, homemakers, and general residents. Data were collected through in-depth interviews, participant observation, focus group discussions, and document analysis. Thematic analysis was conducted using data reduction, data display, and conclusion verification procedures. Triangulation ensured credibility and data saturation. Results: Findings revealed that baseline PHBS knowledge was superficial, attitudes were generally positive but inconsistently practised, and behavioral implementation was influenced by cultural habits and structural limitations. The value-based intervention enhanced awareness, strengthened intrinsic motivation, and promoted gradual behavioural improvements in handwashing, sanitation, and household hygiene management. Conclusion: Value-based health education effectively improved cognitive, motivational, and social dimensions of PHBS. Sustainable implementation, however, requires integrated support involving infrastructure, community engagement, and policy reinforcement
Effectiveness of community-based health promotion in preventing hypertension: A qualitative approach Eka Mayasari; Serli; Dian Meiliani Yulis; Hairuddin K
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 14 No. 2 (2025): July - December
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v14i2.280

Abstract

Introduction: Hypertension remains one of the most prevalent public health issues globally, demanding not only curative but also preventive and promotive strategies. Community-based health promotion programs have emerged as a vital approach to increasing awareness, literacy, and behavioral change to prevent hypertension. Methods: This study employed a qualitative method through a systematic literature review of national and international publications from 2020 to 2025. The selected sources were analyzed thematically to identify social dynamics, intervention models, and determinants of program success. Data analysis involved reduction, display, and interpretation to construct a conceptual model explaining how community-based promotion enhances prevention literacy. Results: The findings indicate that the effectiveness of community-based programs depends on active participation, leadership, resource availability, and integration with primary health services. Empowerment-based education improved knowledge, modified risky behavior, and strengthened cooperation between communities and health workers. The use of digital technologies, such as mobile health applications and social media, expands educational outreach and engagement. Conclusion: Community-based health promotion is a transformative strategy for building awareness, empowerment, and self-reliance in hypertension prevention. Cross-sector collaboration and technology-driven innovation are essential to achieving sustainable outcomes. It is recommended that policymakers and health practitioners strengthen digital literacy, allocate continuous funding, and institutionalize participatory community programs to ensure long-term impact.
Behavior of transgender sex workers toward HIV/AIDS prevention in Makassar: A qualitative study Serli; Eka Mayasari; Dian Meiliani Yulis
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 14 No. 2 (2025): July - December
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v14i2.294

Abstract

Introduction: HIV/AIDS remains a critical public health issue in Makassar, with increasing cases reported across key populations, including transgender commercial sex workers (waria). Surveillance data indicate substantial HIV prevalence among waria, while behavioral factors such as limited knowledge, inconsistent preventive practices, and high-risk sexual networks contribute to ongoing transmission. This study explores the knowledge, attitudes, and preventive behaviors of transgender sex workers regarding HIV/AIDS. Methods: This qualitative study was conducted in 2011 along Jl. Perintis Kemerdekaan, Makassar. Data were collected through in-depth interviews, direct observation, and document review involving eight informants: seven transgender sex workers and one outreach worker from an NGO. Data were analyzed through reduction, narrative presentation, and thematic interpretation. Result: findings show that informants entered sex work due to early socialization, environmental influence, perceived enjoyment, and economic motives. Knowledge of HIV/AIDS varied; most informants recognized HIV as a virus that weakens the immune system, yet many were unable to differentiate clearly between causes and transmission routes. Attitudes toward peers living with HIV were generally positive, reflected by emotional support and encouragement to seek treatment. However, attitudes toward clients remained risky, with informants willing to engage in sexual activity even when clients showed symptoms of sexually transmitted infections. Preventive behaviors were inconsistent; although many preferred condom use, compliance depended heavily on client willingness. Self-treatment using non-prescribed medications was common, and formal healthcare utilization was limited. Conclusion: Transgender sex workers demonstrated partial understanding and inconsistent preventive practices related to HIV/AIDS. Strengthened health promotion, improved risk perception, and greater access to supportive services are essential to enhance safer behaviors and reduce HIV transmission within this population.
Patients’ Perceptions of the Frequency of Medication Counseling by Pharmacists: A Qualitative Case Study Dian Meiliani Yulis; Nun Sudiar Astati; Hairuddin K; Julia Fitrianingsih
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 15 No. 1 (2026): January - June
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v15i1.204

Abstract

Introduction: Medication counseling is an essential component of patient-centered pharmaceutical care, contributing to medication safety, adherence, and patient satisfaction. In hospital pharmacy settings, counseling practices are often influenced by workload and service constraints, resulting in variability in counseling frequency. Understanding how patients perceive and interpret the frequency of medication counseling is therefore important for improving the quality of pharmacy services. This study aimed to explore patients’ perceptions of the frequency of medication counseling provided by pharmacists and to examine its role in shaping patient satisfaction within a hospital pharmacy setting. Research Methodology: A qualitative case study design was employed at the pharmacy installation of a regional general hospital in Indonesia. Data were collected through in-depth interviews with patients, pharmacists, and supporting staff, complemented by non-participant observations and document review. Participants were selected using purposive sampling. Data were analyzed thematically through data condensation, data display, and conclusion drawing, with credibility ensured through triangulation of sources and techniques. Results: The findings revealed that medication counseling frequency was delivered inconsistently and varied according to workload, patient volume, and medication characteristics. Patients perceived frequent counseling as a sign of professional care that enhanced understanding, confidence, and trust in pharmacists. Consistent counseling contributed positively to patient satisfaction, whereas limited counseling led to uncertainty in medication use. Organizational factors, such as staffing limitations and service flow, were identified as key constraints on counseling practices. Conclusion: Medication counseling frequency is a meaningful experiential factor that shapes patient satisfaction and the quality of pharmacist-patient interactions. Strengthening counseling consistency through organizational support and standardized practices may improve patient-centered pharmaceutical care in hospital settings.
Co-Authors Abdul Gafur Ady Purwoto Agustang, Andi Ahmad, Muhammad Iqbal Ali Mardana Ali, Akhwan Andi Alim, Andi Andi Dody May Putra Agustang Andi Dody May Putra Agustang Andi Muhammad Adam Anik Nuryati, Anik Anshari Anshari Arman Arman Arman Arnes Yuli Vandika Asbath Said Astuti, Henni Widia Atika, Zummatul Aulia R, Rezqiqah Auliya Citra Aziz, Yuliana Banne Tondok, Santalia Belangi, Siska Putri Cholifatul Izza, Nurril Dewi, Chitra Dj Sanudin, Rindy Antika Djunaedi Djunaedi Een Kurnaesih Eka Mayasari Eka Mayasari Eko Prastyo Eny Retna Ambarwati Fahri, Ahmad Fatmah Afrianty Gobel Fitriani Fitriani Fitriani, Lisna Annisa Fitrianingsih, Julia Fitriyani, Lia Gamar Al Haddar Gamar Al Haddar, Gamar Al Gultom, Elisabeth Hairuddin Hairuddin Hairuddin K Hairuddin K Hairuddin K Hairuddin K Hairuddin K., Hairuddin K. Hardiyono Hariati, Andi Herman, Sriyana Hilal, Achmad Inamah, Inamah Iqbal Ahmad, Muhammad Iskandar Zulkarnaen Jalal, Jalal Janes Sinaga Jumadi Jumadi K, Hairuddin Kartadarma, Supriyatni Kasim, Ahmad Muhammad Kunaryanti, Kunaryanti Lakoro, Cici Nurmaya Latif, Sarifudin Andi Listina, Osie Marpaung, Sastrika Handayani Mayasari, Eka Meillisa Carlen Mainassy Muh. Azwar Muhammad Ade Kurnia Harahap Mulyanti Mulyanti Mulyanti Muslimin B Muslimin B Mustari, Sahdan Naim, Hardianti Nazruddin Safaat H Nun Sudiar Astati Nur Aida Kubangun * Nurlita Pertiwi Nursinah, Andi Pannyiwi, Rahmat Poetra, Ricky Perdana Prabu Aji, Sulistiyani Prabu Aji, Sulistyani Pratiwi, Cici R. Rusli Radiah Ilham Rahayu, Mesra Rahmawati, Agustini Liviana Dwi Rasyid, Djusmadi Rezeki Sudarmin, Ria Riniati, Wa Ode Risma Niswaty Rismawati Rismawati Rizki Andita Noviar Rosida Rosida Rumaseb, Ester Sahalessy, Yona C. Saparuddin Latu Saputri, Nurul Aini Suria Sarfiani, Efi Sari Arie Lestari Sari, Novi Maya Serli Serli Serli Serli Serli, Serli sinaga, janes Siska Dwi Yulianti Situmeang, Lamria Sri Ariyanti Supriatin Supriatin, Supriatin Syamsuriati, Syamsuriati Thalib, Kiki Uniatri Tomasoa, Johanna Tondok, Santalia Banne Utari Utari Veithzal Rivai Zainal Wa Ode Riniati Werdyaningsih, Endang YANTI, PENTI DORA Yermi, Yermi Yuliana, Besse Yulianti, Siska Dwi Yusri Anugerah Manapa Ambabunga Yusrianto, Yusrianto