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Hengki Tranado
Universitas Dehasen Bengkulu
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Hubungan Sanitasi Lingkungan Dengan Kejadian Diare Pada Balita Di Wilayah Kerja Puskesmas Sambirejo Rejang Lebong Tahun 2025 Sutarni Sutarni; Sasteri Yulianti; Hengki Tranado
Jurnal Multidisiplin Dehasen (MUDE) Vol 5 No 2 (2026): April
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/mude.v5i2.9859

Abstract

World Health Organization (2019) diarrhea is an environmentally-based disease that occurs in almost all geographical areas of the world. Diarrhea is the third leading cause of death in children aged 1-59 months. Globally, the WHO (World Health Organization) states that there are approximately 1.7 billion cases of diarrhea in children each year. More precisely, every year diarrhea kills around 443,832 children aged under 5 and an additional 50,851 children (WHO, 2024). The purpose of this study is to determine a correlation between environmental sanitation and the incidence of diarrhea in toddlers in the Working Area of Sambirejo Health Center, Rejang Lebong in 2025. The research method used was descriptive quantitative research with a cross-sectional approach. The sampling technique used was purposive sampling with a sample size of 72 people. The results of the univariate analysis showed that almost all respondents (38.9%) had an inadequate source of clean water, almost all respondents (29.2%) did not have access to a healthy toilet, almost all respondents (37.5%) had poor waste management, almost all respondents (43.1%) had poor sewage management, and nearly half of the respondents (36.1%) had poor wastewater management. The results of the bivariate analysis showed a correlation between clean water sources (0.000), sanitary toilets (p=0.000), waste management (p=0.002), and wastewater management (p=0.004) with the incidence of diarrhea in toddlers. There is a correlation between environmental sanitation and the incidence of diarrhea in toddlers in the Working Area of Sambirejo Health Center, Rejang Lebong in 2025. The Health Center is expected to enhance its routine environmental health education programs for the community, particularly mothers with infants.
Pengaruh Relaksasi Nafas Dalam Terhadap Penurunan Kecemasan Pasien Pre Operasi Di Instalasi Bedah Rsud Kabupaten Rejang Lebong Tahun 2025 Maria Atvennia; Ice Rakizah Syafrie; Hengki Tranado
Jurnal Multidisiplin Dehasen (MUDE) Vol 5 No 2 (2026): April
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/mude.v5i2.9905

Abstract

Anxiety is a common psychological problem experienced by patients prior to surgery. High levels of anxiety can affect the patient's physiological condition and potentially worsen the surgical process. Deep breathing relaxation is a simple non-pharmacological intervention that can be used to reduce anxiety. This study aims to determine the effect of deep breathing relaxation on reducing anxiety in Pre-Operative Patients at RSUD Rejang Lebong Regency in 2025. This study used a quasi-experimental design with a one-group pre-test and post-test approach. The population consisted of 20 preoperative patients aged 17-50 years, selected using total sampling. The research instrument used APAIS questionnaire to assess anxiety. The intervention consisted of deep breathing relaxation techniques performed 4 hours before the patient entered the operating room and 1 hour before the patient entered the operating room. The deep breathing relaxation technique was administered for 15 minutes with breaks every 5 minutes. Data analysis was performed univariately for frequency distribution and bivariate using the Wilcoxon signed rank test. The results showed that before the deep breathing intervention, the majority of patients experienced mild anxiety (40%) and severe anxiety (35%). After the intervention, 40% of patients were in the non-anxious category, while severe anxiety decreased to 5% and no patients experienced panic. The Wilcoxon test results showed a Z value of -4.300 with P < 0.001, which means there is a significant difference between the anxiety levels before and after the intervention. The conclusion of this study is that deep breathing relaxation techniques are proven to be effective in reducing anxiety in preoperative patients. Nurses and patients are advised to apply deep breathing relaxation interventions as one of the efforts to reduce anxiety in preoperative patients.
Pengaruh Perubahan Posisi Dalam Mencegah Dekubitus Pada Pasien Tirah Baring Di Rsud Kabupaten Rejang Lebong Tahun 2025 Lara Harnelia Sari; Tuti Rohani; Hengki Tranado
Jurnal Multidisiplin Dehasen (MUDE) Vol 5 No 2 (2026): April
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/mude.v5i2.9908

Abstract

Decubitus ulcers are system damage caused by prolonged pressure that often occurs in patients on prolonged bed rest. They can increase morbidity and delay healing. Preventive measures can be implemented through nursing interventions such as regular position changes. The purpose of this Research was to determine the effect of position changes on preventing decubitus ulcers in bed rest patients at Rejang Lebong District Hospital in 2025. This research used a quasi-experimental design with a one-group pre-test and post-test approach. The population was all 15 bed rest patients aged 60 years and older who were hospitalized for more than 3 days, using a total sampling technique. The research instrument used the Braden Scale to assess pressure ulcer risk. The intervention, which involved position changes every 2 hours during the day and every 5–6 hours at night for 3 days of treatment. Data were analyzed univariately and bivariately using paired t-tests. The results showed a difference in pressure ulcer risk scores before and after the position change intervention, with the average Braden score increasing after treatment. The statistical test obtained a p-value
Hubungan Pengetahuan Ibu Dengan Kelengkapan Imunisasi Lanjutan Dpt-Hb-Hib Dan Campak Rubela Pada Baduta Di Wilayah Kerja Puskesmas Jembatan Kecil Kota Bengkulu Tahun 2026 Feny Triyany; Ravika Ramlis; Hengki Tranado
Jurnal Multidisiplin Dehasen (MUDE) Vol 5 No 2 (2026): April
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/mude.v5i2.10829

Abstract

In 2024, the DPT-HB-Hib booster immunization coverage was 75.88% and the Measles/MR2 booster immunization coverage was 81.62%, with 76% of children receiving complete booster immunizations. Compared to the government's target of 100% booster immunization coverage for children under five, this achievement remains relatively low, falling short of the national target. The purpose of this study was to examine the relationship between maternal knowledge and the completeness of DPT-HB-Hib and Measles-Rubella booster immunizations among children under five in the Jembatan Kecil Community Health Center (Puskesmas) working area in Bengkulu City in 2026. The research method used was descriptive research with a cross-sectional approach. The sampling technique used purposive sampling with a population of 380 toddlers calculated using the Slovin formula, resulting in a sample size of 80 toddlers in the Jembatan Kecil Community Health Center Work Area, Bengkulu City, in 2026. Univariate analysis results showed that almost half of the respondents (45%) had sufficient knowledge, and the majority (63.7%) had completed the DPT-HB-Hib booster immunization. Bivariate analysis results showed a relationship between maternal knowledge and the completeness of the DPT-HB-Hib booster immunization and measles-rubella booster immunization in toddlers, with a p-value of 0.000. It can be concluded that maternal knowledge is associated with the completeness of the DPT-HB-Hib booster immunization and measles-rubella booster immunization in toddlers in the Jembatan Kecil Community Health Center Work Area, Bengkulu City, in 2026. The results of this study are expected to improve education and monitoring of booster immunizations to optimize DPT-HB-Hib and measles-rubella booster immunization coverage in toddlers.
Hubungan Dukungan Keluarga Dan Kepemimpinan Keluarga Dengan Pelaksanaan Footcare Pada Penderita Diabetes Melitus Diwilayah Kerja Puskesmas Sawah Lebar Kota Bengkulu Tahun 2025 Hero Pratama Inzagi; Danur Azissah; Hengki Tranado
Jurnal Multidisiplin Dehasen (MUDE) Vol 5 No 3 (2026): Juli
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/mude.v5i3.10923

Abstract

Diabetes mellitus is a chronic disease that requires continuous management to prevent complications, including foot complications. Proper footcare can prevent wounds and amputations in people with diabetes mellitus. Data from the Sawah Lebar Community Health Center (Puskesmas) area shows that some people with diabetes mellitus still do not practice optimal footcare. This study aims to determine the relationship between family support and family leadership and footcare practices among people with diabetes mellitus in the Sawah Lebar Community Health Center area in Bengkulu City. This study used a descriptive analytical method with a cross-sectional design. The sample consisted of 72 respondents with diabetes mellitus, selected using a random sampling technique. Family support and leadership were measured using a questionnaire, while footcare practices were also measured using a questionnaire for those with diabetes mellitus. Data were analyzed using univariate and bivariate methods using the chi-square test at a significance level of α = 0.05. The results showed that most respondents received good family support, had good family leadership, and practiced footcare in the moderate to good category. Bivariate analysis results showed a significant relationship between support and footcare implementation, as well as leadership and footcare implementation in patients with diabetes mellitus. This study recommends that community health centers (Puskesmas) improve health education that involves families.
A Correlation between Parenting Styles and Mental Health in Adolescents at SMKN 2 Argamakmur Merry Dayati; Hengki Tranado; Delta Aprianti
Journal of Nursing Vol. 1 No. 2 (2026): May
Publisher : Utami Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70963/jn.v1i2.386

Abstract

Mental health is a condition in which individuals can understand their potential, work well, cope with stress, and contribute to their community. WHO data (2020) reports that the global prevalence of mental health problems among people aged 10-19 has increased by 16%, with this age group being the most vulnerable to mental health problems. The purpose of this study is to examine a correlation between parenting styles and mental health among adolescents at SMKN 2 Argamakmur. This study used total random sampling techniques and obtained a sample size of 76 respondents. Data collection was conducted using questionnaires on adolescent mental health and parenting styles. Based on the results of univariate analysis, it is found that the majority of respondents had good mental health (64,5%) and a small number of respondents had permissive parenting (48,7%). Bivariate analysis showed a p-value of < 0.05, namely 0.001, which means that there is a correlation between parenting styles and mental health among adolescents at SMKN 2 Argamakmur. The researcher suggests that teachers and staff at SMKN 2 Argamakmur understand how parenting styles affect students' mental health and behavior. This will help teachers recognize signs of mental health disorders related to parenting styles at home.
Hubungan Dukungan Keluarga Dengan Perilaku Lansia Dalam Pencegahan Hipertensi Di Wilayah Kerja Puskesmas Pasar Ikan Kota Bengkulu Tahun 2025 Yosi Oktavia; Taufianie Rossita; Hengki Tranado
Jurnal Multidisiplin Dehasen (MUDE) Vol 5 No 3 (2026): Juli
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/mude.v5i3.10926

Abstract

The Indonesian Health Survey reported a 29.2% prevalence of hypertension in Indonesia, with 598,983 cases. Among the elderly aged 55-64, the prevalence was 18.7%, 23.8% for those aged 65-74, and 26.1% for those aged 75 and above. The purpose of this study was to determine the relationship between family support and elderly behaviors in preventing hypertension in the Working Area of Pasar Ikan Health Center in Bengkulu City in 2025. The research method used was descriptive research with a cross-sectional approach. The sampling technique used purposive sampling, with a sample size of 64 elderly individuals in the Working Area of Pasar Ikan Health Center in Bengkulu City in 2025. Univariate analysis results showed that the majority of respondents (62.5%) had supportive families and the majority (67.2%) had good behaviors in preventing hypertension. The results of the bivariate chi-square analysis showed a relationship between family support and the behavior of the elderly in preventing hypertension in the Working Area of Pasar Ikan Health Center in Bengkulu City in 2025 (p-value 0.000). There was a correlation between family support and the behavior of the elderly in preventing hypertension in the Working Area of Pasar Ikan Health Center in Bengkulu City in 2025. The results of this study are expected to serve as a reference for respondents to increase their knowledge about the correlation between family support and the behavior of the elderly in preventing hypertension.
Faktor-Faktor yang Mempengaruhi Kejadian Asam Urat pada Lansia di Puskesmas Jembatan Kecil Kota Bengkulu Tahun 2025 Rica Meiriska Sari; Fiya Diniarti; Hengki Tranado
Jurnal Multidisiplin Dehasen (MUDE) Vol 5 No 3 (2026): Juli
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/mude.v5i3.11129

Abstract

Uric acid, commonly known as gouty arthritis, is the end product of purine metabolism, which is a component of nucleic acids found in the cell nucleus. Data from the Indonesian Ministry of Health for 2022 shows an increase in gout cases from 72,675 in 2021 to 102,995 in 2022. At the Jembatan Kecil Community Health Center in Bengkulu City, the number of elderly people suffering from uric acid was recorded at 80 in 2025. The incidence of gout is influenced by various factors such as physical activity, purine intake, and genetic history. This study aims to identify the factors influencing the incidence of gout among the elderly at the Jembatan Kecil Community Health Center in Bengkulu City in 2025. The method used in this study was an analytical study with a cross-sectional design. The study population consisted of all elderly individuals visiting the Jembatan Kecil Community Health Center in Bengkulu City, with a sample size of 107 respondents. The sampling technique used was accidental sampling. The results of the univariate analysis showed that the majority of respondents (64.5%) had low physical activity levels; a portion of respondents had low and moderate purine intake (35.5% each); the majority of respondents (51.4%) had a family history of gout; and the majority of respondents (51.4%) had elevated uric acid levels. The results of the bivariate Chi-square test analysis indicate that there is a significant association between physical activity and the incidence of gout (p = 0.000), a significant association between purine intake and the incidence of gout (p = 0.000), and a significant association between family history and the incidence of gout in the elderly (p = 0.000). It is hoped that the elderly can maintain a healthy diet and increase their physical activity to prevent an increase in uric acid levels
The Relationship Between Pregnant Women's Compliance in Consuming Iron Tablets and Hemoglobin Levels in the Telaga Dewa Community Health Center Work Area, Bengkulu City, 2024 Weni Royana; Hengki Tranado; Murwati Murwati
Multidisciplinary Journals Vol. 2 No. 4 (2025): December
Publisher : Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/mj.v2i4.994

Abstract

Pregnancy is a physiological process that women go through. The pregnancy process begins with conception and ends with childbirth. Prevention of emergency conditions during pregnancy is carried out four times throughout the pregnancy period. This effort is done to observe the development and growth of the fetus and monitor the health of the mother during pregnancy. Mothers will undergo hemodilation or blood tests, which put them at risk of anemia. Method: This study used a cross-sectional approach. There were 42 pregnant women in the Telaga Dewa Community Health Center working area who were selected as research samples using accidental sampling techniques. The research subjects had to meet the predetermined inclusion and exclusion criteria. The research data consisted of primary and secondary data. Data or variables were analyzed using the Chi-square formula. Of the 42 pregnant women, 23 (54.8%) were non-compliant and 19 (42.2%) were compliant. For pregnant women with hemoglobin ≥ 11 gr%, 19 pregnant women (42.2%) took iron tablets, while 23 pregnant women (54.8%) with hemoglobin ≤ 11 gr% took iron tablets. The Chi-Square test yielded a P-value (<0.000) < (0.05), indicating a significant association between pregnant women's compliance in taking iron tablets and hemoglobin levels
The Relationship Between Internet Addiction and Mental Health Among Nursing Students at The Faculty of Health Sciences, Universitas Dehasen Bengkulu Enny Febriana Sari; Dilfera Hermiati; Hengki Tranado
Jurnal Kesehatan Mitra Sekawan Vol. 3 No. 1 (2026): September
Publisher : Utami Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70963/jkmp.v3i1.792

Abstract

Internet addiction is a pattern of excessive and uncontrolled internet use that may negatively affect students’ academic performance and mental health. University students are in early adulthood, a developmental stage that is vulnerable to academic and emotional stressors. Therefore, uncontrolled internet use may increase the risk of mental health problems. This study aimed to determine the relationship between internet addiction and mental health among nursing students at the Faculty of Health Sciences, Universitas Dehasen Bengkulu. This study employed an analytical design with a cross-sectional approach. The population consisted of all nursing students, with a total sample of 87 respondents selected using total sampling technique. The research instruments used were the Internet Addiction Test (IAT) to measure the level of internet addiction and the Depression Anxiety Stress Scale (DASS-42) to assess mental health status. Data were analyzed using univariate and bivariate analyses with the Chi-Square test at a significance level of 0.05. The results showed that 53 respondents (60.0%) experienced internet addiction and 50 respondents (57.5%) experienced mental health disorders. The Chi-Square test revealed a p-value of 0.007 (p < 0.05), indicating a significant relationship between internet addiction and mental health among nursing students at the Faculty of Health Sciences, Universitas Dehasen Bengkulu. Students are encouraged to manage their internet use wisely and develop adaptive coping strategies to maintain their mental health.
Co-Authors Danur Azissah Delta Aprianti Dilfera Hermiati diniarti, fiya Enny Febriana Sari Feny Triyany Handayani, Tita Septi Hero Pratama Inzagi Ice Rakizah Syafrie Lara Harnelia Sari Maria Atvennia Merry Dayati Murwati Murwati Puput Puspita Sari Ravika Ramlis Rica Meiriska Sari Sasteri Yuliyanti Sutarni Sutarni Taufianie Rossita Tuti rohani Weni Royana Yosi Oktavia